Organization
PATHWAYS NEUROFEEDBACK INSTITUTE, PLLC
Active
Other names
Pathways Functional Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JO JOHNSON MD (OWNER)
(208) 734-1394
Entity
Organization
Contact information
Practice address
401 BROCKMAN LOOP, JEROME, ID 83338
(208) 734-1394
Mailing address
401 BROCKMAN LOOP, JEROME, ID 83338
(208) 734-1394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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