Search › Idaho › 111N00000X
Gary Johnson, DC
NPI 1588721930 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2745 Pole Line Road
Pocatello, ID 83201 - Phone
- (208) 234-2225
- Fax
- (208) 478-5556
- Organisation at this address
- Johnson Family Chiropractic & Sports Clinic Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-12
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