Gary Erle Johnston, D.O. Valid NPI
Individual provider · Adult Medicine Physician · Hodgen, OK
- NPI
- 1962537902
- Type
- Individual (Type 1)
- Primary specialty
- Adult Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207QA0505X
- License number
- OK1230 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-22
- Last updated
- 2007-07-09
Practice location
53468 Mineral Springs Rd
Hodgen, OK 74939-3064
(918) 653-7831