Organization
PHILLIP JOHNSON
Active
Organization
PHILLIP JOHNSON
Active
Other names
New River Valley O & P
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP WAYNE JOHNSON C.P.O. (ORTHOTIST PROSTHETIST)
(540) 951-2566
Entity
Organization
Contact information
Practice address
3635 S MAIN ST, STE A, BLACKSBURG, VA 24060-7021
(540) 951-2566
(540) 951-7818
Mailing address
3635 S MAIN ST, STE A, BLACKSBURG, VA 24060-7021
(540) 951-2566
(540) 951-7818
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
08/19/2008
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