Shad Carl Johnson, PA-C
NPI #1114028354 in Pocatello, Idaho
Provider Information
- NPI Number
- 1114028354
- Entity Type
- Individual
- Name
- Shad Carl Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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