CODY JOHNSON

Physician Assistant

NPI: 1184392011IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA-2399(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2021

Contact & Hours

Via practice · 2 locations total

Address: 190 E BANNOCK ST FL 10
BOISE, ID 83712
Phone: (208) 381-5500

Locations (2)

Practice Location

190 E BANNOCK ST FL 10, BOISE, ID

Practice Location

407 S SCHWARTZ AVE STE 101, FARMINGTON, NM

Quick Facts

NPI: 1184392011
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 5

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