SearchIdaho225100000X

Jordan Johnston, DPT

NPI 1225786064 · on the registry since 2022

Practice

Address
229 S 7th St
St Maries, ID 83861
Phone
(208) 245-5551
Organisation at this address
Benewah Community Hospital
Benewah Community Hospital
Inland Northwest Surgery Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

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
2022-03-11

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