Dr DAVID A JOHNSON is a male medical professional, specializing in Vascular Surgery. He graduated in 1989 from University Of New Mexico School Of Medicine.
ST LUKE'S CLINIC, LLC
2001 BENCH RD
POCATELLO
ID
832012033
Tel: 2082381039
| Npi | 1922035104 |
| Pac Id | 3779673801 |
| Professional Enrollment Id | I20100923001352 |
| Last Name | JOHNSON |
| First Name | DAVID |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | VASCULAR SURGERY |
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| Organization Legal Name | ST LUKE'S CLINIC, LLC |
| Group Practice Pac Id | 1052217478 |
| Number Of Group Practice Members | 230 |
| Line 1 Street Address | 2001 BENCH RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | POCATELLO |
| State | ID |
| Zip Code | 832012033 |
| Phone Number | 2082381039 |
| Hospital Affiliation Ccn 1 | 130002 |
| Hospital Affiliation Lbn 1 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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