Individual
DANIEL SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 734-7362
(208) 814-0948
Mailing address
2024 BLUE SKY LN, TWIN FALLS, ID 83301-5558
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
78095
ID
Other
Enumeration date
02/28/2024
Last updated
03/18/2024
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