Individual
DR. CORY A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
850 W IRONWOOD DR STE 301, COEUR D ALENE, ID 83814-4903
(208) 667-9762
(208) 765-1041
Mailing address
850 W IRONWOOD DR STE 301, COEUR D ALENE, ID 83814-4903
(208) 667-9762
(208) 765-1041
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-263
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/12/2018
Last updated
09/23/2021
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