MAYBEN COLE JOHNSON

TWIN FALLS, ID
NPI1306920202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O278)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
Dr. MAYBEN COLE JOHNSON DO
526 SHOUP AVE W
TWIN FALLS, ID 83301
Phone number: 208-733-1112
Mailing Address
Dr. MAYBEN COLE JOHNSON DO
526 SHOUP AVE W
TWIN FALLS, ID 83301
Phone number: 208-733-1112