Organization
ORTHOPRO OF TWIN FALLS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SCOTT JOHNSON CPO (OWNER)
(208) 733-0505
Entity
Organization
Contact information
Practice address
1600 OVERLAND AVE STE C, BURLEY, ID 83318-2434
(877) 733-0505
Mailing address
1437 PARK VIEW DR STE 200, TWIN FALLS, ID 83301-4167
(208) 733-0505
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
DME236
ID
Other
Enumeration date
06/02/2015
Last updated
01/07/2021
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