Individual
DR. JARED S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8854 W EMERALD ST STE 102, BOISE, ID 83704-4845
(208) 323-4747
(208) 323-4848
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A107698
CA
207X00000X
Orthopaedic Surgery Physician
Primary
M-12474
ID
Other
Enumeration date
09/26/2007
Last updated
02/22/2023
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