RYAN CHARLES JOHNSON

TULSA, OK
NPI1104330281
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  100733)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OK  R0100733)
Enumeration Date2017-11-27
Last Update Date2020-01-30
Business Address
RYAN CHARLES JOHNSON CRNA
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612
Mailing Address
RYAN CHARLES JOHNSON CRNA
7509 E 77TH CT
TULSA, OK 74133-3524
Phone number: 918-521-2081