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1114028354
SHAD CARL JOHNSON
POCATELLO, ID
NPI
1114028354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-629)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
-- SHAD CARL JOHNSON PA-C
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201-2763
Phone number: 208-232-6616
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Mailing Address
-- SHAD CARL JOHNSON PA-C
1151 HOSPITAL WAY BLDG A P.O. BOX 4788
POCATELLO, ID 83201-2763
Phone number: 208-232-6616
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