About Gary R. Johanson
He is located at 1950 E Clark St, , in Pocatello, ID 83201. Appointment can be made via the phone number (208) 232-7760.
Gary R. Johanson - Address, Phone & Website
1950 E Clark St, , Pocatello, ID 83201
(208) 232-7760
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Certified Registered Nurse Anesthetist | 367500000X |
| No | Registered Nurse | 163W00000X |
Licenses
| State | License Number |
|---|---|
| Idaho | RNA-28A |
| Idaho | N15687 |