Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP W JOHNSON, CPO
ActiveMR. PHILLIP W JOHNSON, CPO is a Orthotist healthcare provider located in BLACKSBURG, Virginia. NPI 1710185376 is currently active in the NPPES registry. Verify at CMS.
Orthotist · BLACKSBURG, VA
Registration Details
- NPI Number
- 1710185376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2007 (19.067827315974 yrs)
- Last Updated
- Dec 21, 2007
- Licenses
-
CPO 02395 (FL)CPO 02395 (FL)
Practice Information
- Address
-
3635 S MAIN STSUITE ABLACKSBURG, VA, 240607019Browse VA providers · Browse ZIP 24060
- Phone
- 5409512566
- Fax
- 5409517818
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Pulmonary Function Technologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.