JOHNNY DIVINE

Durable Medical Equipment & Medical Supplies - Customized Equipment

Active Individual
NPI: 1275092991

Practice Address

507 MAIN STREET
Golden City, MO 64748

Phone: (417) 262-2524

Specialties

Specialty Code Primary License
Durable Medical Equipment & Medical Supplies - Customized Equipment 332BC3200X Yes -

Frequently Asked Questions

NPI 1275092991 is the National Provider Identifier for JOHNNY DIVINE, a Durable Medical Equipment & Medical Supplies - Customized Equipment provider located in Golden City, MO. This NPI was enumerated on March 13, 2019.
JOHNNY DIVINE practices at 507 MAIN STREET, Golden City, MO 64748.

Quick Facts

NPI
1275092991
Type
Individual
Enumerated
Mar 13, 2019
Last Updated
Mar 13, 2019

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