| Doctor Name: | MR. JOHNSON EUGENE CALHOUN |
| NPI Number: | 1083609705 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 1380 |
| Business Practice Address: | 4301 Mow Way Road Fort Sill, OK - 73503 |
| Business Phone Number: | 5804582695 |
| Business Fax Number: | 5804582387 |
| Mailing Address: | 2304 Nw 78th St, LAWTON |
| State: | OK |
| Postal Code: | 735051111 |
| Phone Number: | 5805367814 |
| Fax Number: | 5804582387 |
| NPI Enumeration Date: | 09/19/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |