Jeffery L Johnson, PA

NPI #1609887801 in Eagle, Idaho

Provider Information

NPI Number: 1609887801
Entity Type: Individual
Name: Jeffery L Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 11, 2006
Last Updated: Feb 3, 2021

Practice Location

Address: 3217 W BAVARIA STREET
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 239-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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