Individual provider · Type 1 NPI
Ruth Johnson, PA
Medical Physician Assistant · Mannford, OK
NPI number
1699865162
Active
Practice location
500 Cimarron Dr, Box 323
Mannford, OK 74044-9504
Fax (918) 865-5050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-1777 (OK) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1699865162
Ruth Johnson, PA's National Provider Identifier is 1699865162, issued on Oct 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mannford, OK. The record was last updated on Mar 5, 2009.