PHILLIP W JOHNSON

BLACKSBURG, VA
NPI1710185376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: FL  CPO 02395)
Additional Taxonomies224P00000X Prosthetist
(Licence: FL  CPO 02395)
Enumeration Date2007-07-05
Last Update Date2007-12-21
Business Address
Mr. PHILLIP W JOHNSON CPO
3635 S MAIN ST SUITE A
BLACKSBURG, VA 24060-7019
Phone number: 540-951-2566
Mailing Address
Mr. PHILLIP W JOHNSON CPO
3635 S MAIN ST SUITE A
BLACKSBURG, VA 24060-7019
Phone number: 540-951-2566