SHAD JOHNSON, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1114028354

Practice Address

1151 HOSPITAL WAY BLDG A
Pocatello, ID 83201

Phone: (208) 232-6616

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA-629 (ID)

Frequently Asked Questions

NPI 1114028354 is the National Provider Identifier for SHAD JOHNSON, PA-C, a Physician Assistant - Medical provider located in Pocatello, ID. This NPI was enumerated on September 26, 2006.
SHAD JOHNSON, PA-C practices at 1151 HOSPITAL WAY BLDG A, Pocatello, ID 83201.

Quick Facts

NPI
1114028354
Type
Individual
Enumerated
Sep 26, 2006
Last Updated
Jul 8, 2007

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