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Phillip Johnson, CPO
NPI 1710185376 · on the registry since 2007
Practice
- Address
- 3635 S Main St
Suite A
Blacksburg, VA 24060 - Phone
- (540) 951-2566
- Fax
- (540) 951-7818
- Organisation at this address
- Phillip Johnson
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 222Z00000X
222Z00000X
- Also registered as
- 224P00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia