Individual
DR. ALEX C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 W CURTISIAN, SUITE 200, BOISE, ID 83704
(208) 302-0000
(208) 302-0055
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-0000
(208) 302-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-00204
NC
207R00000X
Internal Medicine Physician
M-11027
ID
207RC0000X
Cardiovascular Disease Physician
M-11027
ID
207RI0011X
Interventional Cardiology Physician
Primary
M-11027
ID
207UN0901X
Nuclear Cardiology Physician
M-11027
ID
Other
Enumeration date
03/15/2007
Last updated
12/20/2019
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