Matthew Wallace Johnson, DO

NPI #1225539182 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1225539182
Entity Type: Individual
Name: Matthew Wallace Johnson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: DO
Enumeration Date: Feb 26, 2018
Last Updated: Jul 15, 2025

Practice Location

Address: 6640 KANIKSU ST
City: Bonners Ferry
State: Idaho
ZIP Code: 83805-7532
Phone: (208) 267-3141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Internal Medicine	207R00000X

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