SearchIdaho207QS0010X

Chad Johnson, DO

NPI 1871881052 · on the registry since 2011 · sole proprietor

Practice

Address
1411 Falls Ave E Ste 1301
Twin Falls, ID 83301
Phone
(208) 735-8585
Fax
(208) 933-2001
Organisation at this address
Oler Dental
Smiles 4 Kids, Llc
Infused Health Llc
Inclusion South, Inc
Inclusion South, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
207QS0010X
207QS0010X
Also registered as
207Q00000X
390200000X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-23

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