IndividualActive
Ryan Johnson, DPM
NPI 1265059042 · Podiatrist · Boise, ID
Provider details
- NPI number
- 1265059042
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- P277 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
900 N Liberty St Ste 306
Boise, ID 83704-8729
Phone: (208) 367-7887
Fax: (208) 367-7888
Approximate (ZIP-level) locationGet directions
Mailing address
900 N Liberty St Ste 306
Boise, ID 83704-8729
Registry dates
- Enumerated
- 2020-06-29
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.