Individual
DR. JAYSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 N CURTIS RD STE 304, BOISE, ID 83706-1341
(208) 342-4263
(208) 375-0597
Mailing address
901 N CURTIS RD STE 304, BOISE, ID 83706-1341
(208) 577-5342
(208) 375-0597
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2015021994
MO
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M15661
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015021994
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
07/06/2015
Last updated
06/11/2021
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