Sandra Lynn Johnson, PA

NPI #1215043120 in Stigler, Oklahoma

Provider Information

NPI Number: 1215043120
Entity Type: Individual
Name: Sandra Lynn Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 22, 2006
Last Updated: Aug 8, 2008

Practice Location

Address: 401 NW H ST
City: Stigler
State: Oklahoma
ZIP Code: 74462-1625
Phone: (918) 967-5032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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