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Individual

MR. GREG ANTHONY JOHNSON

Active
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Individual

MR. GREG ANTHONY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.O., BOCP

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OP00095
AR
224P00000X
Prosthetist
Primary
OP00095
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51253
BOARD OF CERTIFICATION
—
01
—
CO004206
AMERICAN BOARD OF CERTIFICATION
—
Enumeration date
10/24/2008
Last updated
06/01/2026
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