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NPI Code Detail

MEDICARE: MR. ADAM ROBERT JOHNSON

MEDICARE:  MR. ADAM ROBERT JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)OK

General Provider Information

NPI Number : 1932054517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM ROBERT JOHNSON
Provider Business Mailing Address
First Line : 1348 S CANTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-6308
Country : US
Telephone Number : 815-209-7038
Fax Number :
Provider Business Practice Location Address
First Line : 1348 S CANTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-6308
Country : US
Telephone Number : 815-209-7038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2026
Last Update Date : 03/05/2026

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Directions to “ MR. ADAM ROBERT JOHNSON ” Practice Location

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