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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREG W JOHNSON, MD

Active

GREG W JOHNSON, MD is a Family Medicine healthcare provider located in BOISE, Idaho. NPI 1508969973 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1508969973
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2006 (19.911807972593 yrs)
Last Updated
Jan 23, 2014
License
M8930 (ID)

Practice Information

Address
130 E BOISE AVE
BOISE, ID, 83706
Browse ID providers · Browse ZIP 83706
Phone
2083454066
Fax
2083454196
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.