IndividualActive
David Johnson, M.D.
NPI 1922035104 · Vascular Surgery Physician · Twin Falls, ID
Provider details
- NPI number
- 1922035104
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29904 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
775 Pole Line Rd W
Suite 213
Twin Falls, ID 83301-5814
Phone: (208) 814-8475
Fax: (208) 734-4177
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 587
Twin Falls, ID 83303-0587
Additional practice locations (1)
- 501 Marshall StJackson, MS 39202-1651Phone: (601) 969-6404Fax: (601) 973-4541
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.