NPI Profile for DENISE W JOHNSON in CLINTON, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1275844664 |
|
| Status | Active | |
| Credentials | P.A.-C | |
| Entity | Individual | |
| Enumeration date | 06/30/2010 | |
| Last updated | 02/28/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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DENISE W JOHNSON
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