Search › Idaho › 225100000X
Pete Johnson
NPI 1184314866 · on the registry since 2023
Practice
- Address
- 131 N Oak St
Blackfoot, ID 83221 - Phone
- (208) 684-2444
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho