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Jeffery Johnson, PA
NPI 1609887801 · on the registry since 2006
Practice
- Address
- 3217 W Bavaria Street
Eagle, ID 83616 - Phone
- (208) 239-1000
- Fax
- (208) 239-2136
- Organisation at this address
- Oasis Pediatrics
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-03
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