Individual
DR. FRANCIS T JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
Mailing address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2002023842
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209067909
—
MO
Enumeration date
05/30/2005
Last updated
07/08/2007
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