Organization
NORTHWEST PHYSICIANS AND SURGEONS
Active
Other names
Cory Averill Johnson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY AVERILL JOHNSON DPM (OWNER/PROVIDER)
(208) 667-9762
Entity
Organization
Contact information
Practice address
850 W IRONWOOD DR STE 301, COEUR D ALENE, ID 83814-4903
(208) 667-9762
(208) 765-1041
Mailing address
850 W IRONWOOD DR STE 301, COEUR D ALENE, ID 83814-4903
(208) 667-9762
(208) 765-1041
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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