Dr. Teresa Kay Johnson, MD
Family Medicine in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1285642322
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1285642322
- Entity type
- Individual (NPI-1)
- Name
- Dr. Teresa Kay Johnson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2006
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M-8742 | ID | Yes |
Practice location
298 1st StIdaho Falls, ID 83401-3966
Phone 208-529-2544 · Fax 208-529-3771
Mailing address
298 1st StIdaho Falls, ID 83401-3966
Phone 208-529-2544 · Fax 208-529-3771
Other practice locations
298 1st St
Idaho Falls, ID 83401-3966
Idaho Falls, ID 83401-3966
Phone 208-529-2544
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