| Dr Clarence Michael Johnson, DO | |
|
802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | |
| (918) 599-4477 | |
| (918) 599-4479 |
| Full Name | Dr Clarence Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 802 S Jackson Ave, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013937713 | NPI | - | NPPES |
| 100088070A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 1716 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clarence Michael Johnson, DO Po Box 368, Claremore, OK 74018-0368 Ph: (918) 343-6100 | Dr Clarence Michael Johnson, DO 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 Ph: (918) 599-4477 |
Dr. Dae Y Kim, M.D., PH.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 202, Tulsa, OK 74104 Phone: 918-579-3130 Fax: 918-579-3139 | |
Bruce Carlton Stoesser, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10901 E 48th St S, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Kevin Joseph Gancarczyk, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Dr. Rustin Chanc Walters, M.D. Urology Medicare: Medicare Enrolled Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Jack Steve Miller, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Dr. Paul G Hagood, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Ste 202, Tulsa, OK 74104 Phone: 918-579-3130 Fax: 918-579-3139 |