Search › Idaho › 207RP1001X
Matthew Divietro, DO
NPI 1427265867 · on the registry since 2007
Practice
- Address
- 2347 E Gala St
Meridian, ID 83642 - Phone
- (208) 323-3767
- Clinicians at this address
- 32
Additional practice sites
- 500 W Fort St, Boise, ID
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207R00000X
207RC0200X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-24
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