Organization
TOTAL FAMILY MEDICINE PLLC
Active
Other names
Teresa Kay Johnson MD
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA KAY JOHNSON MD (SOLE OWNER)
(208) 529-2544
Entity
Organization
Contact information
Practice address
298 1ST ST, IDAHO FALLS, ID 83401-3966
(208) 529-2544
Mailing address
298 1ST ST, IDAHO FALLS, ID 83401-3966
(208) 529-2544
(208) 529-3771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M8742
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806599100
—
ID
Enumeration date
09/24/2008
Last updated
04/25/2025
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