SearchIdaho363A00000X

Matthew Nelson, PA C

NPI 1649221912 · on the registry since 2006

Practice

Address
2375 E Sunnyside Rd Ste J
Idaho Falls, ID 83404
Phone
(208) 522-7246
Fax
(208) 529-2620
Organisation at this address
Bmh, Inc.
Manual Solutions Pllc
Stephen R Marano Md Pc
3 Peaks Anesthesia, Inc
Center For Aesthetics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-15

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