Individual
ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 S 8TH ST STE 303, BOISE, ID 83702-5523
(208) 241-7475
(208) 847-7005
Mailing address
419 S 8TH ST STE 303, BOISE, ID 83702-5523
(208) 241-7475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
67908
AZ
2084P0800X
Psychiatry Physician
Primary
M-15572
ID
Other
Enumeration date
03/23/2018
Last updated
03/10/2026
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