person
David A Johnson, MD
Vascular Surgery Physician in Twin Falls, Idaho
NPI 1922035104

David A Johnson is a Vascular Surgery Physician based in Twin Falls, ID and is specialized in Vascular Surgery. David A Johnson practices in Twin Falls, ID and has the professional credentials of MD. The NPI Number for David A Johnson is 1922035104 and holds a License No. 29904 (Idaho).

The current practice location address for David A Johnson 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, 83303-0587
person
Provider Profile Details
NPI Number
1922035104
Provider Name
David A Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
775 Pole Line Rd W, Twin Falls, ID, 83303-0587
Phone Number
208-814-8475
Fax Number
208-734-4177
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00899554 01 ID MCRR
003760400 05 ID
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.
29904 (Mississippi)
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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