Organization
JOHNSON PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ANTHONY JOHNSON CPO (CPO)
(417) 726-9964
Entity
Organization
Contact information
Practice address
1742 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-5260
(479) 485-3366
(479) 485-3305
Mailing address
1742 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-5260
(479) 485-3366
(479) 485-3305
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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