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Search › Idaho › 363A00000X

Matthew Berria, PA

NPI 1982791810 · on the registry since 2006

Practice

Address
1100 Nw 12th St
Fruitland, ID 83619
Phone
(208) 452-6556
Fax
(541) 216-6557
Organisation at this address
Snake River Pediatrics, Pc
Snake River Pediatrics, Pc
Snake River Pediatrics, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-16

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