Organization
BLANE JOHNSON, LLC
Active
Other names
Foot Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLANE ROBERT JOHNSON (OWNER/DIRECTOR)
(208) 525-3382
Entity
Organization
Contact information
Practice address
939 S 25TH E, SUITE 100, AMMON, ID 83406-5734
(208) 525-3338
(208) 525-3339
Mailing address
939 S 25TH E, SUITE 100, AMMON, ID 83406-5734
(208) 525-3338
(208) 525-3339
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
ID
335E00000X
Prosthetic/Orthotic Supplier
—
ID
Other
Enumeration date
08/11/2007
Last updated
01/11/2008
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