JEFFERY JOHNSON, PA

Physician Assistant

Active Individual
NPI: 1609887801

Practice Address

3217 W BAVARIA STREET
Eagle, ID 83616

Phone: (208) 239-1000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA416 (ID)

Frequently Asked Questions

NPI 1609887801 is the National Provider Identifier for JEFFERY JOHNSON, PA, a Physician Assistant provider located in Eagle, ID. This NPI was enumerated on August 11, 2006.
JEFFERY JOHNSON, PA practices at 3217 W BAVARIA STREET, Eagle, ID 83616.

Quick Facts

NPI
1609887801
Type
Individual
Enumerated
Aug 11, 2006
Last Updated
Feb 3, 2021

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