Individual
ELIZABETH JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 W YAKIMA STE 3, JEROME, ID 83338-6164
(208) 734-1394
(208) 329-5040
Mailing address
215 W YAKIMA STE 3, JEROME, ID 83338-6164
(208) 734-1394
(208) 329-5040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-9318
ID
Other
Enumeration date
10/18/2005
Last updated
11/21/2024
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