Individual provider · Type 1 NPI
Bryan Wayne Johnson, PA-C
Physician Assistant · Nampa, ID
Practice location
9850 W St Lukes Dr Ste 260
Nampa, ID 83687-7912
Fax (208) 381-6931
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice locations
- 697 Louisiana Drive, Dyess Afb, Abilene, TX 79607-4765 · (325) 696-4754
- 1072 N Liberty St Ste 300, Boise, ID 83704-8708 · (208) 302-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-2055 (ID) |
| Physician Assistant | 363A00000X | 1071708 (GA) |
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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- Mark A. Granrud, PA-CPhysician Assistant Nampa, ID NPI 1043286222
- Daniel Reed MarshallPhysician Assistant Nampa, ID NPI 1073248829
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About NPI 1508872763
Bryan Wayne Johnson, PA-C's National Provider Identifier is 1508872763, issued on Jul 31, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nampa, ID. The record was last updated on Dec 3, 2024.