Cody Johnson

NPI #1285176842 in Ardmore, Oklahoma

Provider Information

NPI Number: 1285176842
Entity Type: Individual
Name: Cody Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 14, 2016
Last Updated: Nov 16, 2016

Practice Location

Address: 2530 S COMMERCE ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-5519
Phone: (580) 223-5636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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