| Johnson Family Chiropractic & Sports Clinic Pllc | |
|
2745 Pole Line Rd, Pocatello, ID 83201-6111 | |
| (208) 234-2225 | |
| Not Available |
| Full Name | Johnson Family Chiropractic & Sports Clinic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2745 Pole Line Rd, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679058093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Gary L Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588721930 PECOS PAC ID: 6901981877 Enrollment ID: I20080317000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Family Chiropractic & Sports Clinic Pllc 2745 Pole Line Rd, Pocatello, ID 83201-6111 Ph: () - | Johnson Family Chiropractic & Sports Clinic Pllc 2745 Pole Line Rd, Pocatello, ID 83201-6111 Ph: (208) 234-2225 |
Dr. Jessie Dean Smith, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 115 S. 15th, Suite C, Pocatello, ID 83201 Phone: 208-232-7558 Fax: 208-232-7549 | |
Dr. Darrell Wade Davis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1155 Yellowstone Ave, Ste. F, Pocatello, ID 83201 Phone: 208-238-0002 | |
Dr. Robert E Ward Iii, DC, NMD Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 135 Warren Ave, Pocatello, ID 83201 Phone: 208-241-6510 Fax: 208-234-2052 | |
Ward Clinic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2186 Colonial Ln, Pocatello, ID 83201 Phone: 208-221-2225 Fax: 208-232-9485 | |
Barry M Smith, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 456 Fairway Dr, Pocatello, ID 83201 Phone: 208-637-0248 | |
Jonathan Franklin Hitchcock, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2010 Flandro Dr, Pocatello, ID 83202 Phone: 208-351-5588 Fax: 208-238-0603 | |
Hitchcock Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 2010 Flandro Dr, Pocatello, ID 83202 Phone: 208-351-5588 Fax: 208-238-0603 |