# TOTAL FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Teresa Kay Johnson MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093965212
- **Authorized official:** TERESA KAY JOHNSON MD (SOLE OWNER)
- **Authorized official phone:** (208) 529-2544

## Contact information

- **Practice address:** 298 1ST ST, IDAHO FALLS, ID 83401-3966
- **Practice address phone:** (208) 529-2544
- **Mailing address:** 298 1ST ST, IDAHO FALLS, ID 83401-3966
- **Mailing address phone:** (208) 529-2544
- **Mailing address fax:** (208) 529-3771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M8742 | ID | Yes |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 04/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 806599100 | — | ID |