person
Michael Shane Johnson, MD
General Practice Physician in Oklahoma City, Oklahoma
NPI 1770877151

Michael Shane Johnson is a General Practice Physician based in Oklahoma City, OK. Michael Shane Johnson practices in Oklahoma City, OK and has the professional credentials of MD. The NPI Number for Michael Shane Johnson is 1770877151 and holds a License No. 30380 (Oklahoma).

The current practice location address for Michael Shane Johnson is 13600 Prairie View Ln, Oklahoma City, OK and can be reached out via phone at 888-330-7831.

Location: 13600 Prairie View Ln, Oklahoma City, OK, 73142-5917
person
Provider Profile Details
NPI Number
1770877151
Provider Name
Michael Shane Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13600 Prairie View Ln, Oklahoma City, OK, 73142-5917
Phone Number
888-330-7831
Fax Number
Provider Enumeration Date
06/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13600 Prairie View Ln
City
State
Zip
73142-5917
Phone Number
888-330-7831
Fax Number
person
Provider Business Mailing Address Details
Address
13600 Prairie View Ln
City
State
Zip
73142-5917
Phone Number
888-330-7831
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
30380 (Oklahoma)
Definition
Definition to come...
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