Edgar Johnson Homer, MA
NPI #1477918126 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1477918126
- Entity Type
- Individual
- Name
- Edgar Johnson Homer, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- MA
- Enumeration Date
- Dec 23, 2015
- Last Updated
- Dec 23, 2015
Practice Location
- Address
- 8933 S 253RD EAST AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-2299
- Phone
- (480) 529-3630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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