Drew August Johnson, PA-C

NPI #1851705347 in Hayden, Idaho

Provider Information

NPI Number: 1851705347
Entity Type: Individual
Name: Drew August Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 12, 2014
Last Updated: Jun 12, 2014

Practice Location

Address: 8836 N HESS ST
Address 2: SUITE C
City: Hayden
State: Idaho
ZIP Code: 83835-8718
Phone: (208) 762-7760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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