Nutritional Medicine Of Idaho

NPI 1467621383 - Nutritionist - 133NN1002X

NPI Details
NPI 1467621383
Enumeration Date 02/25/2008
Last Updated 02/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MATTHEW R MATTHEW
Position OWNER
Phone (208) 343-3883
Fax (208) 287-2010
Practice Location
1520 W STATE ST
SUITE 220
BOISE ID, 83702-4085, US
Phone (208) 343-3883
Fax (208) 287-2010
Business Location
1520 W STATE ST
SUITE 220
BOISE ID, 83702-4085, US
Phone (208) 343-3883
Fax (208) 287-2010
Toxanomy
Taxonomy Code 133NN1002X
License State Idaho
License Number D043
Remove 1467621383 NPI Number
 

According to our database, Nutritional Medicine Of Idaho NPI is 1467621383, taxonomy code is 133NN1002X and license number is D043, license state is located at Idaho. Nutritional Medicine Of Idaho physically located at 1520 W State St, Boise ID, 83702-4085. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1467621383 NPI number is provided on an as is basis without warranty of any kind. 1467621383 is maintained by the National Plan & Provider Enumeration System. The contents of Nutritional Medicine Of Idaho are for informational purposes only.