Blane Johnson, LLC

NPI #1346432556 in Ammon, Idaho

Provider Information

NPI Number: 1346432556
Entity Type: Organization
Organization Name: Blane Johnson, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Aug 11, 2007
Last Updated: Jan 11, 2008

Practice Location

Address: 939 S 25TH E
Address 2: SUITE 100
City: Ammon
State: Idaho
ZIP Code: 83406-5734
Phone: (208) 525-3338

Authorized Official

Name: MR. BLANE ROBERT JOHNSON
Title: OWNER/DIRECTOR
Phone: (208) 525-3382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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