Search › Idaho › 1041C0700X
Craig Johnson
NPI 1053841247 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2565 N Currant Pl
Boise, ID 83704 - Phone
- (208) 859-5373
Additional practice sites
- 7091 W Emerald St, Boise, ID
- 4477 W Emerald St Ste C100, Boise, ID
- 314 Badiola St, Caldwell, ID
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
104100000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-26
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