NPI 1699928432
Greg Anthony Johnson, COBOCP
Practice location
- Address
- 1027 S Main St STE Ll3, Joplin, MO 64801-4565
- Phone
- (417) 726-9964
- Fax
- (417) 622-4449
- Mailing address
- 2039 N Penelope Ln, Fayetteville, AR 72704-7206
Registered specialties (2)
Prosthetist
Primary
Orthotist
Registry record
- NPI
- 1699928432
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Oct 2008
- Record last updated
- 1 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.