Mrs. ANNIE JOHNSON -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1003067984- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 708 E WYTHE CREEK CT STE 103, KUNA, ID, 836345005
- Phone
- (208) 922-5130
- Fax
- (208) 922-5132
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA-777