EVAN JOHNSON

BURLEY, ID
NPI1912637042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2622)
Enumeration Date2022-06-13
Last Update Date2023-11-04
Business Address
EVAN JOHNSON PA-C
1252 BENNETT AVE STE B
BURLEY, ID 83318-2664
Phone number: 208-647-0656
Mailing Address
EVAN JOHNSON PA-C
1252 BENNETT AVE STE B
BURLEY, ID 83318-2664
Phone number: 208-647-0656
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