NPI 1265059042

Ryan Tyler Johnson, DPM

Practitioner Podiatrist Boise, ID

Practice location

Address: 900 N Liberty St STE 306, Boise, ID 83704-8729
Phone: (208) 367-7887
Fax: (208) 367-7888

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P277 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1265059042
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2020
Record last updated: 8 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.