STEPHEN C JOHNSON

MOUNTAIN HOME, ID
NPI1427041201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  0-41)
Enumeration Date2005-08-26
Last Update Date2016-07-11
Business Address
-- STEPHEN C JOHNSON DO
895 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone number: 702-453-3799
Mailing Address
-- STEPHEN C JOHNSON DO
PO BOX 507
MOUNTAIN HOME, ID 83647-0507
Phone number: 702-453-3799
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