Individual
DR. RYAN TYLER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
900 N LIBERTY ST STE 306, BOISE, ID 83704-8729
(208) 367-7887
(208) 367-7888
Mailing address
900 N LIBERTY ST STE 306, BOISE, ID 83704-8729
(208) 367-7887
(208) 367-7888
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P277
ID
Other
Enumeration date
06/29/2020
Last updated
04/08/2025
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