MRS. Annie Johnson, PA-C

NPI #1003067984 in Kuna, Idaho

Provider Information

NPI Number
1003067984
Entity Type
Individual
Name
MRS. Annie Johnson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 9, 2008
Last Updated
Dec 1, 2010

Practice Location

Address
708 E WYTHE CREEK CT STE 103
City
Kuna
State
Idaho
ZIP Code
83634-5005
Phone
(208) 922-5130

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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