Individual
JOHNSON DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(504) 909-2520
Mailing address
PO BOX 226, STANLEY, ID 83278-0226
(504) 909-2520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71970
ID
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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