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GARY JOHANSON, CRNA

CRNA

Certified Registered Nurse Anesthetist

NPI: 1700836418Individual

Specialties, Licenses & Credentials

Registered Nurse

Code: 163W00000X

N15687(ID)

Nurse Anesthetist, Certified Registered

Code: 367500000X

RNA-28A(ID)

Contact & Hours

Address
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201

Quick Facts

NPI
1700836418
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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