NPI 1679746895

C. Michael Johnson, D.O,inc.

Organisation Urology Physician Tulsa, OK

Practice location

Address: 802 S Jackson Ave Suite 110, Tulsa, OK 74127-9015
Phone: (918) 587-2389
Fax: (918) 587-4389
Mailing address: 802 So. Jackson Ave Suite 110, Tulsa, OK 74127-8921

Authorised official

Name: Susie Monroe
Title: Office Manager
Phone: (918) 587-2389

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 1716 (OK)

Other Urology providers in Oklahoma →

Registry record

NPI: 1679746895
Entity type: Organization
NPI issued: 9 Apr 2008
Record last updated: 18 Nov 2008

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.