SHANE JOHNSON, PA

Physician Assistant

Active Individual
NPI: 1275512543

Practice Address

215 E HAWAII AVE
Nampa, ID 83686

Phone: (208) 463-3234

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X No PA293 (ID)
Physician Assistant 363A00000X Yes PA293 (ID)

Frequently Asked Questions

NPI 1275512543 is the National Provider Identifier for SHANE JOHNSON, PA, a Physician Assistant provider located in Nampa, ID. This NPI was enumerated on January 13, 2006.
SHANE JOHNSON, PA practices at 215 E HAWAII AVE, Nampa, ID 83686.

Quick Facts

NPI
1275512543
Type
Individual
Enumerated
Jan 13, 2006
Last Updated
Dec 18, 2009

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