person
Mr. Matthew Frank Ivie, PA-C
Medical Physician Assistant in Gooding, Idaho
NPI 1003325937

Matthew Frank Ivie is a Medical Physician Assistant based in Shelley, ID and is specialized in Medical. Matthew Frank Ivie practices in Gooding, ID and has the professional credentials of PA-C. The NPI Number for Matthew Frank Ivie is 1003325937 and holds a License No. (Idaho).

The current practice location address for Matthew Frank Ivie is 267 N Canyon Dr, Gooding, ID and can be reached out via phone at 208-934-4433.

Location: 267 N Canyon Dr, Gooding, ID, 83274-5143
person
Provider Profile Details
NPI Number
1003325937
Provider Name
Matthew Frank Ivie
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
267 N Canyon Dr, Gooding, ID, 83274-5143
Phone Number
208-934-4433
Fax Number
Provider Enumeration Date
09/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
267 N Canyon Dr
City
State
Zip
83330-5500
Phone Number
208-934-4433
Fax Number
person
Provider Business Mailing Address Details
Address
267 N Canyon Dr
City
State
Zip
83330-5500
Phone Number
208-934-4433
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Idaho)
Definition
Definition to come...
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