SearchIdaho207ZP0102X

Matthew Burtelow, M.D

NPI 1760670285 · on the registry since 2007

Practice

Address
190 E Bannock St
Boise, ID 83712
Phone
(208) 381-2367
Fax
(208) 381-4762
Organisation at this address
St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
695

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Also registered as
207ZC0006X
207ZP0101X
Licence states on file
CA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-07-29

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