Individual
MICHAEL SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O
Contact information
Practice address
762 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID 83301-3382
(208) 733-0505
(208) 734-0766
Mailing address
762 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID 83301-3382
(208) 733-0505
(208) 734-0766
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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