location
search-icon
person
Matthew J Fackrell, DO
Family Medicine Physician in Blackfoot, Idaho
NPI 1215968045

Matthew J Fackrell is a Family Medicine Physician based in Blackfoot, ID. Matthew J Fackrell practices in Blackfoot, ID and has the professional credentials of DO. The NPI Number for Matthew J Fackrell is 1215968045 and holds a License No. OP61556804 (Idaho).

The current practice location address for Matthew J Fackrell is 1441 Parkway Dr, Blackfoot, ID and can be reached out via phone at 208-785-2600 and via fax at 208-785-8185.

Location: 1441 Parkway Dr, Blackfoot, ID, 83221-1667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215968045
Provider Name
Matthew J Fackrell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1441 Parkway Dr, Blackfoot, ID, 83221-1667
Phone Number
208-785-2600
Fax Number
208-785-8185
Provider Enumeration Date
07/06/2006
Last Update Date
11/16/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1374716 01 ID PTAN
807815500 05 ID
institution
Provider Business Practice Location Address Details
Address
1441 Parkway Dr
City
Blackfoot
State
Idaho
Zip
83221-1667
Phone Number
208-785-2600
Fax Number
208-785-8185
person
Provider Business Mailing Address Details
Address
1441 Parkway Dr
City
Blackfoot
State
Idaho
Zip
83221-1667
Phone Number
208-785-2600
Fax Number
208-785-8185
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OP61556804 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.