Individual provider · Type 1 NPI

Cody Johnson

Physician Assistant · Boise, ID

NPI number 1184392011 Active

Practice location

190 E Bannock St Fl 10
Boise, ID 83712-6241

Call (208) 381-5500 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 · (505) 609-6595

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XPA-2399 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1184392011

Cody Johnson's National Provider Identifier is 1184392011, issued on Sep 3, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Nov 30, 2022.