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Alicia Johnson
NPI 1861815185 · on the registry since 2014
Practice
- Address
- 1501 Hiland Ave
Burley, ID 83318 - Phone
- (208) 677-6503
- Fax
- (208) 677-6306
- Organisation at this address
- Rnba Llc
Medical Lab Service
Anesthesia West, Pa
Wayne H Blauer Md Pa
Ihc Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-22
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