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Matthew Clyde

NPI 1134036122 · on the registry since 2026

Practice

Address
905 Yellowstone Ave
Pocatello, ID 83201
Phone
(208) 233-2382
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-02

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