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Matthew Ivie, PA-C
NPI 1003325937 · on the registry since 2017
Practice
- Address
- 267 N Canyon Dr
Gooding, ID 83330 - Phone
- (208) 934-4433
- Organisation at this address
- North Canyon Medical Center, Inc
North Canyon Medical Center, Inc
North Canyon Medical Center Inc.
North Canyon Medical Center, Inc.
North Canyon Medical Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho