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Cody Johnson
NPI 1184392011 · on the registry since 2021
Practice
- Address
- 190 E Bannock St Fl 10
Boise, ID 83712 - Phone
- (208) 381-5500
- Organisation at this address
- St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 692
Additional practice sites
- 407 S Schwartz Ave Ste 101, Farmington, NM
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-30
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