NPI 1013937713

Clarence Michael Johnson, DO

Practitioner Urology Physician Tulsa, OK

Practice location

Address: 802 S Jackson Ave Suite 110, Tulsa, OK 74127-9015
Phone: (918) 599-4477
Fax: (918) 599-4479
Mailing address: PO Box 368, Claremore, OK 74018-0368

Registered specialties

Urology Physician Primary

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

Other Urology providers in Oklahoma →

Registry record

NPI: 1013937713
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2006
Record last updated: 13 Jul 2012

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.