JEFFERY L JOHNSON

EAGLE, ID
NPI1609887801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA416)
Enumeration Date2006-08-11
Last Update Date2021-02-03
Business Address
JEFFERY L JOHNSON PA
3217 W BAVARIA STREET
EAGLE, ID 83616
Phone number: 208-239-1000
Mailing Address
JEFFERY L JOHNSON PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-286-6676
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