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Ruth Johnson, PA
Medical Physician Assistant in Mannford, Oklahoma
NPI 1699865162

Ruth Johnson is a Medical Physician Assistant based in Mannford, OK and is specialized in Medical. Ruth Johnson practices in Mannford, OK and has the professional credentials of PA. The NPI Number for Ruth Johnson is 1699865162 and holds a License No. PA-1777 (Oklahoma).

The current practice location address for Ruth Johnson is 500 Cimarron Dr, Mannford, OK and can be reached out via phone at 918-865-5000 and via fax at 918-865-5050.

Location: 500 Cimarron Dr, Mannford, OK, 74044-9504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699865162
Provider Name
Ruth Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
500 Cimarron Dr, Mannford, OK, 74044-9504
Phone Number
918-865-5000
Fax Number
918-865-5050
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 Cimarron Dr
City
Mannford
State
Oklahoma
Zip
74044-9504
Phone Number
918-865-5000
Fax Number
918-865-5050
person
Provider Business Mailing Address Details
Address
500 Cimarron Dr
City
Mannford
State
Oklahoma
Zip
74044-9504
Phone Number
918-865-5000
Fax Number
918-865-5050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-1777 (Oklahoma)
Definition
Definition to come...
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