Search › Idaho › 363A00000X
Bryan Johnson, PA-C
NPI 1508872763 · on the registry since 2006
Practice
- Address
- 9850 W St Lukes Dr Ste 260
Nampa, ID 83687 - Phone
- (208) 381-6930
- Fax
- (208) 381-6931
- Organisation at this address
- St Lukes West Ltd
St Lukes West Ltd
Saltzer Medical Group, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 125
Additional practice sites
- 697 Louisiana Drive, Abilene, TX
- 1072 N Liberty St Ste 300, Boise, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- ID, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-03
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