Search › Idaho › 367500000X
Gary Johanson, CRNA
NPI 1700836418 · on the registry since 2006
Practice
- Address
- 1950 E Clark St
Suite G
Pocatello, ID 83201 - Phone
- (208) 232-7760
- Fax
- (208) 232-1950
- Organisation at this address
- Lisa M Miller
Stephen M Maloff Md Pa
Prism Family Medicine Llc
Michael J. Gregson, M.D., P.A.
Western Pathology Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-19
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