Organization
RUTH A. JOHNSON
Active
Other names
The Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH ANNE JOHNSON (OWNER)
(719) 336-1155
Entity
Organization
Contact information
Practice address
701 N MAIN ST, LAMAR, CO 81052-2207
(719) 336-1155
Mailing address
701 N MAIN ST, PO BOX 1114, LAMAR, CO 81052-2207
(719) 336-1155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
26777290000
CO
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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