MR. Phillip W Johnson, CPO

NPI #1710185376 in Blacksburg, Virginia

Provider Information

NPI Number: 1710185376
Entity Type: Individual
Name: MR. Phillip W Johnson, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CPO
Enumeration Date: Jul 5, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 3635 S MAIN ST
Address 2: SUITE A
City: Blacksburg
State: Virginia
ZIP Code: 24060-7019
Phone: (540) 951-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary
Prosthetist	224P00000X

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