Benjamin Jacob Johnson, PA-C
NPI #1982356366 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1982356366
- Entity Type
- Individual
- Name
- Benjamin Jacob Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 26, 2022
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 3200 CHANNING WAY STE 206
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7546
- Phone
- (208) 529-2230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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