MR. Jace Jordan Johnson, CPO

NPI #1568131191 in Centerton, Arkansas

Provider Information

NPI Number: 1568131191
Entity Type: Individual
Name: MR. Jace Jordan Johnson, CPO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pedorthist
Credential: CPO
Enumeration Date: Sep 8, 2021
Last Updated: Sep 11, 2025

Practice Location

Address: 429 W CENTERTON BLVD
City: Centerton
State: Arkansas
ZIP Code: 72719-8701
Phone: (918) 843-0713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pedorthist	224L00000X	Primary

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