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SHANE JOHNSON, PA
PA
Physician Assistant
NPI: 1275512543IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
PA293(ID)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA293(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1999
Contact & Hours
- Address
- 215 E HAWAII AVE
NAMPA, ID 83686 - Phone
- (208) 463-3234
Quick Facts
- NPI
- 1275512543
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 27
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