MR. Carl B Johnston III, PA-C

NPI #1336379361 in Lexington, Oklahoma

Provider Information

NPI Number: 1336379361
Entity Type: Individual
Name: MR. Carl B Johnston III, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 24, 2009
Last Updated: Jul 24, 2009

Practice Location

Address: 15151 E. HWY 39
City: Lexington
State: Oklahoma
ZIP Code: 73051
Phone: (405) 527-5676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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