National Provider Identifier Database

CLARENCE M JOHNSON, DO – NPI #1013937713
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

CLARENCE M JOHNSON, DO
802 S JACKSON AVE
SUITE 110
TULSA, OK74127-9015
Phone: 918-599-4477
Fax: 918-599-4479
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for CLARENCE M JOHNSON

NPI Number 1013937713
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/19/2006
Last updated 07/13/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • OK License #: 1716
  • OK Medicaid: 100088070A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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