Individual
MR. GREG ANTHONY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O., BOCP
Contact information
Practice address
1027 S MAIN ST STE LL3, JOPLIN, MO 64801-4565
(417) 726-9964
(417) 622-4449
Mailing address
2039 N PENELOPE LN, FAYETTEVILLE, AR 72704-7206
(479) 305-9374
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
10/15/2025
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