Phillip Johnson
NPI #1265616528 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1265616528
- Entity Type
- Organization
- Organization Name
- Phillip Johnson
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 21, 2007
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 3635 S MAIN ST
- Address 2
- STE A
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-7021
- Phone
- (540) 951-2566
Authorized Official
- Name
- MR. PHILLIP WAYNE JOHNSON, C.P.O.
- Title
- ORTHOTIST PROSTHETIST
- Phone
- (540) 951-2566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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