JOHNSON C GOURD

TULSA, OK
NPI1043264732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  23087)
Enumeration Date2006-05-19
Last Update Date2011-04-11
Business Address
JOHNSON C GOURD M.D.
9912 E 21ST ST
TULSA, OK 74129-1620
Phone number: 918-622-0641
Mailing Address
JOHNSON C GOURD M.D.
9912 E 21ST ST
TULSA, OK 74129-1620
Phone number: 918-622-0641
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