SHAD JOHNSON, PA-C

PA-C

Medical Physician Assistant

NPI: 1114028354IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA-629(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2006

Contact & Hours

Address: 1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Phone: (208) 232-6616

Quick Facts

NPI: 1114028354
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 20

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