TYLER W JOHNSON

COEUR D ALENE, ID
NPI1376034181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ID  4971842)
Additional Taxonomies208600000X Surgery
(Licence: SC  LL82173)
Enumeration Date2018-05-29
Last Update Date2025-07-23
Business Address
TYLER W JOHNSON DO
700 W IRONWOOD DR STE 341
COEUR D ALENE, ID 83814-4404
Phone number: 208-625-5200
Mailing Address
TYLER W JOHNSON DO
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6750