| NPI | 1033417035 |
|---|---|
| Former Legal Business Name | CHRISTOPHER R JOHNSON DO, PLLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN HANSEN Owner 208-478-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: ID O-0400) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2019-11-04 |