Stephen Johnston, PA Valid NPI
Individual provider · Physician Assistant · Edmond, OK
- NPI
- 1629337753
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 2500 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-05-09
- Last updated
- 2021-03-22
Practice location
2000 E 15th St Ste 400a
Edmond, OK 73013-6673
(405) 341-1697