DR. Stormie Johanson, DC

NPI #1942893409 in Eagle, Idaho

Provider Information

NPI Number: 1942893409
Entity Type: Individual
Name: DR. Stormie Johanson, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Feb 16, 2021
Last Updated: Feb 16, 2021

Practice Location

Address: 1155 E WINDING CREEK DR
City: Eagle
State: Idaho
ZIP Code: 83616-7232
Phone: (515) 320-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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