DR. Clarence Michael Johnson, D.O.

NPI #1013937713 in Tulsa, Oklahoma

Provider Information

NPI Number: 1013937713
Entity Type: Individual
Name: DR. Clarence Michael Johnson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: D.O.
Enumeration Date: Jul 19, 2006
Last Updated: Jul 13, 2012

Practice Location

Address: 802 S JACKSON AVE
Address 2: SUITE 110
City: Tulsa
State: Oklahoma
ZIP Code: 74127-9015
Phone: (918) 599-4477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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