Dr. Michael E. Johnson Jr., M.D.
Pediatrics in Bethany, OK. Individual provider (NPI-1).
NPI number1124262001
StatusActive
Last updated in NPPESJan 25, 2016
Details
- NPI
- 1124262001
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael E. Johnson Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2009
- Last updated
- Jan 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 28900 | OK | Yes |
Practice location
6800 Nw 39th ExpyBethany, OK 73008-2513
Phone 405-789-6711 · Fax 405-440-6750
Mailing address
6800 Nw 39th ExpyBethany, OK 73008-2513
Phone 405-789-6711 · Fax 405-440-6750
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