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1003325937
MATTHEW FRANK IVIE
GOODING, ID
NPI
1003325937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2017-09-22
Last Update Date
2017-09-22
Business Address
Mr. MATTHEW FRANK IVIE PA-C
267 N CANYON DR
GOODING, ID 83330-5500
Phone number: 208-934-4433
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Mailing Address
Mr. MATTHEW FRANK IVIE PA-C
940 E 1400 N
SHELLEY, ID 83274-5143
Phone number: 208-206-9631
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