Gary R Johanson, CRNA
NPI #1700836418 in Pocatello, Idaho
Provider Information
- NPI Number
- 1700836418
- Entity Type
- Individual
- Name
- Gary R Johanson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 11, 2006
- Last Updated
- Oct 19, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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