BLAKE WESLEY JOHNSON

TULSA, OK
NPI1497151922
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-11-11
Last Update Date2020-04-03
Business Address
Mr. BLAKE WESLEY JOHNSON PA-C
2000 S WHEELING AVE STE 900
TULSA, OK 74104-5647
Phone number: 918-403-6284
Mailing Address
Mr. BLAKE WESLEY JOHNSON PA-C
2000 S WHEELING AVE STE 900
TULSA, OK 74104-5647
Phone number: 918-403-6284