Individual provider · Type 1 NPI
Gary Erle Johnston, DO
Adult Medicine Physician · Hodgen, OK
NPI number
1962537902
Active
Practice location
53468 Mineral Springs Rd
Hodgen, OK 74939-3064
Mailing address
1501 Cottonwood Dr
Poteau, OK 74953-2048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | OK1230 (OK) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1962537902
Gary Erle Johnston, DO's National Provider Identifier is 1962537902, issued on Feb 22, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Hodgen, OK. The record was last updated on Jul 9, 2007.