GREG W JOHNSON

BOISE, ID
NPI1508969973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M8930)
Enumeration Date2006-09-07
Last Update Date2014-01-23
Business Address
-- GREG W JOHNSON MD
130 E BOISE AVE
BOISE, ID 83706
Phone number: 208-345-4066
Mailing Address
-- GREG W JOHNSON MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-345-4066