NPI 1720362288

Carl Johnson

Practitioner Contractor McAlester, OK

Practice location

Address: 101 S 12th St, McAlester, OK 74501-5656
Phone: (918) 470-7869

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Oklahoma →

Registry record

NPI: 1720362288
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2011
Record last updated: 3 Oct 2011

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.