Individual provider · Type 1 NPI

Dylan Johnston

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1609594787 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 561-1145 Map

Mailing address

17765 W Triplett Rd
Cashion, OK 73016-9694

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609594787

Dylan Johnston's National Provider Identifier is 1609594787, issued on Aug 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 16, 2022.