KEITON JOHNSON

IDAHO FALLS, ID
NPI1851903702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  PA-1920)
Enumeration Date2020-08-21
Last Update Date2023-05-24
Business Address
KEITON JOHNSON PA-C
3425 POTOMAC WAY
IDAHO FALLS, ID 83404-4984
Phone number: 208-528-8170
Mailing Address
KEITON JOHNSON PA-C
3425 POTOMAC WAY
IDAHO FALLS, ID 83404-4984
Phone number: 208-528-8170
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