Organization
BOB JOHNS SHOES, PEDORTHICS & REPAIR
Active
Organization
BOB JOHNS SHOES, PEDORTHICS & REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A. JOHNS C.PED (OWNER)
(419) 227-2829
Entity
Organization
Contact information
Practice address
2110 SPENCERVILLE RD, LIMA, OH 45805-3442
(419) 227-2829
Mailing address
2110 SPENCERVILLE RD, LIMA, OH 45805-3442
(419) 227-2829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
LPED.20
OH
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPED.20
OH
Other
Enumeration date
08/06/2012
Last updated
09/10/2012
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