SAMUEL PENNINGTON JOHNSON

IDAHO FALLS, ID
NPI1639969637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: ID  4471358)
Enumeration Date2025-05-12
Last Update Date2025-05-12
Business Address
SAMUEL PENNINGTON JOHNSON NP
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 801-499-1889
Mailing Address
SAMUEL PENNINGTON JOHNSON NP
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 801-499-1889
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