location
search-icon
person
Johnny Leo Divine
Customized Equipment (DME) in Golden City, Missouri
NPI 1275092991

Johnny Leo Divine is a Customized Equipment (DME) based in Golden City, MO and is specialized in Customized Equipment. Johnny Leo Divine practices in Golden City, MO. The NPI Number for Johnny Leo Divine is 1275092991 and holds a License No. (Missouri).

The current practice location address for Johnny Leo Divine is 507 Main Street, Golden City, MO and can be reached out via phone at 417-262-2524.

Location: 507 Main Street, Golden City, MO, 64748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275092991
Provider Name
Johnny Leo Divine
Credential
Provider Entity Type
Individual
Gender
Male
Address
507 Main Street, Golden City, MO, 64748
Phone Number
417-262-2524
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
507 Main Street
City
Golden City
State
Missouri
Zip
64748
Phone Number
417-262-2524
Fax Number
person
Provider Business Mailing Address Details
Address
507 Main Street
City
Golden City
State
Missouri
Zip
64748
Phone Number
417-262-2524
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.