| Doctor Name: | DR. DARLENE G. JOHNSON |
| NPI Number: | 1104851815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 16599 |
| Business Practice Address: | 9220 S Pennsylvania Ave Suite B Oklahoma City, OK - 731596937 |
| Business Phone Number: | 4056921331 |
| Business Fax Number: | 4056920082 |
| Mailing Address: | 9220 S Pennsylvania Ave, Suite B OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731596937 |
| Phone Number: | 4056921331 |
| Fax Number: | 4056920082 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |