Search › Oklahoma › 175T00000X
Gabriel Johnson
NPI 1962271155 · on the registry since 2023 · sole proprietor
Practice
- Address
- 214 N Bliss Ave
Tahlequah, OK 74464 - Phone
- (539) 234-3785
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma