NPI 1518316272

Johnson Family Chiropractic Clinic

Organisation Preferred Provider Organization Oklahoma City, OK

Practice location

Address: 11914 N Pennsylvania Ave Suite B3, Oklahoma City, OK 73120-7831
Phone: (405) 752-8819
Fax: (405) 751-1238

Authorised official

Name: Jerry Lee Johnson
Title: Doctor
Phone: (405) 752-8819

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2626 (OK)

Other Preferred Provider Organization providers in Oklahoma →

Registry record

NPI: 1518316272
Entity type: Organization
NPI issued: 3 Jun 2016
Record last updated: 3 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.