IndividualActive
David Johnson, MD
NPI 1124312376 · Gastroenterology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1124312376
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M13808 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814-2527
Phone: (208) 625-4595
Fax: (208) 625-4596
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-2527
Registry dates
- Enumerated
- 2011-06-06
- Last updated
- 2024-04-16
- Certified
- 2024-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.