institution
Sara L. Johnson, Md
Clinic/Center in Twin Falls, Idaho
NPI 1346306974

Sara L. Johnson, Md is a Clinic/Center based in Twin Falls, ID. Sara L. Johnson, Md practices in Twin Falls, ID. The NPI Number for Sara L. Johnson, Md is 1346306974 and holds a License No. M4188 (Idaho).

The current practice location address for Sara L. Johnson, Md is 496 Shoup Ave W, Twin Falls, ID and can be reached out via phone at 208-733-2885 and via fax at 208-734-3352.

Location: 496 Shoup Ave W, Twin Falls, ID, 83301-5043
institution
Provider Profile Details
NPI Number
1346306974
Provider Name
Sara L. Johnson, Md
Credential
Provider Entity Type
Organization
Address
496 Shoup Ave W, Twin Falls, ID, 83301-5043
Phone Number
208-733-2885
Fax Number
208-734-3352
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8H757 01 ID BLUE CROSS OF IDAHO
000010017978 01 ID REGENCE BLUE SHIELD OF ID
institution
Provider Business Practice Location Address Details
Address
496 Shoup Ave W
City
State
Zip
83301-5043
Phone Number
208-733-2885
Fax Number
208-734-3352
person
Provider Business Mailing Address Details
Address
496 Shoup Ave W
City
State
Zip
83301-5043
Phone Number
208-733-2885
Fax Number
208-734-3352
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
M4188 (Idaho)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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