Matt Tannenbaum is an Anatomic Pathology & Clinical Pathology Physician based in Idaho Falls, ID and is specialized in Anatomic Pathology & Clinical Pathology. Matt Tannenbaum practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Matt Tannenbaum is 1093783375 and holds a License No. M7775 (Idaho).
The current practice location address for Matt Tannenbaum is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-529-6050 and via fax at 208-529-7085. You can also correspond with Matt Tannenbaum through the mailing address at 1820 E 17TH ST, IDAHO FALLS, ID - 83404-6521 (mailing address contact number: 208-529-9779).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010005388 | 01 | ID | REGENCE BLUE SHIELD ID |
| 805449000 | 05 | ID | |
| 32946 | 01 | ID | BLUE CROSS OF ID |
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