Gary L Johnson Ii (NPI# 1588721930, PAC ID# 6901981877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1588721930 |
| PAC ID by PECOS | 6901981877 |
| Professional Enrollment ID | I20080317000664 |
| Full Name | Gary L Johnson Ii |
| Address |
2745 Pole Line Rd Pocatello ID 83201-6111 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE |
| Graduation Year | 2001 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2745 Pole Line Rd, Pocatello, ID 83201-6111 |
| Street Address |
2745 POLE LINE RD |
| City | POCATELLO |
| State | ID |
| Zip | 83201-6111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | CHIROPRACTIC |
| City + Specialty | POCATELLO + CHIROPRACTIC |
Please comment or provide details below to improve the information on Gary L Johnson Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.