DAVID A JOHNSON

TWIN FALLS, ID
NPI1922035104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X 
(Licence: ID  M6776)
Additional Taxonomies2086S0129X 
(Licence: MS  29904)
Enumeration Date2006-06-26
Last Update Date2022-03-21
Business Address
DAVID A JOHNSON M.D.
775 POLE LINE RD W SUITE 213
TWIN FALLS, ID 83301-5814
Phone number: 208-814-8475
Mailing Address
DAVID A JOHNSON M.D.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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