Cody Mattingly

NPI 1952889685 · on the registry since 2018

Practice

Address: 1475 N Cole Rd
Boise, ID 83704
Phone: (208) 809-2880
Organisation at this address: Alliance Medical Group, Llc
Owyhee Health And Rehab Center
Discovery Care Centre Of Salmon
Discovery Care Centre Of Salmon
Cassia Long Term Care Inc Dba Parke View Care & Rehab Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Medical Physician Assistant
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-02-25

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