institution
David Johnson, M.d., P. A.
Vascular Surgery Physician in Twin Falls, Idaho
NPI 1467499418

David Johnson, M.d., P. A. is a Vascular Surgery Physician based in Twin Falls, ID and is specialized in Vascular Surgery. David Johnson, M.d., P. A. practices in Twin Falls, ID. The NPI Number for David Johnson, M.d., P. A. is 1467499418 and holds a License No. M9086 (Idaho).

The current practice location address for David Johnson, M.d., P. A. is 775 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-8475 and via fax at 208-734-4177.

Location: 775 Pole Line Rd W, Twin Falls, ID, 83301-5814
institution
Provider Profile Details
NPI Number
1467499418
Provider Name
David Johnson, M.d., P. A.
Credential
Provider Entity Type
Organization
Address
775 Pole Line Rd W, Twin Falls, ID, 83301-5814
Phone Number
208-814-8475
Fax Number
208-734-4177
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003760400 05 ID
020051471 01 ID RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
775 Pole Line Rd W
City
State
Zip
83301-5814
Phone Number
208-814-8475
Fax Number
208-734-4177
person
Provider Business Mailing Address Details
Address
775 Pole Line Rd W
City
State
Zip
83301-5814
Phone Number
208-814-8475
Fax Number
208-734-4177
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
M9086 (Idaho)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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