BENJAMIN JACOB JOHNSON

IDAHO FALLS, ID
NPI1982356366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2256)
Enumeration Date2022-01-26
Last Update Date2023-01-03
Business Address
BENJAMIN JACOB JOHNSON PA-C
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404-7546
Phone number: 208-529-2230
Mailing Address
BENJAMIN JACOB JOHNSON PA-C
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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