WADE RUSSELL JOHNSON

TULSA, OK
NPI1881444677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
Dr. WADE RUSSELL JOHNSON DO
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone number: 918-582-1980
Mailing Address
Dr. WADE RUSSELL JOHNSON DO
15097 S 54TH WEST AVE
KIEFER, OK 74041
Phone number: 360-259-9779