BRIAN ROBERT JOHNSON

BLACKFOOT, ID
NPI1962895888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1550A)
Enumeration Date2015-03-17
Last Update Date2016-05-06
Business Address
Mr. BRIAN ROBERT JOHNSON N.P.
1350 PARKWAY DR
BLACKFOOT, ID 83221-1657
Phone number: 208-782-2415
Mailing Address
Mr. BRIAN ROBERT JOHNSON N.P.
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
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