RYAN SCOTT JOHNSON

CHUBBUCK, ID
NPI1184653404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-1037)
Enumeration Date2006-06-30
Last Update Date2021-07-19
Business Address
Dr. RYAN SCOTT JOHNSON O.D.
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202-2420
Phone number: 208-238-2020
Mailing Address
Dr. RYAN SCOTT JOHNSON O.D.
12482 DALLIN RD
POCATELLO, ID 83202-5073
Phone number: 208-241-9145
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