MATTHEW WILSON

BOISE, ID
NPI1063807097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-14743)
Enumeration Date2015-04-06
Last Update Date2019-08-26
Business Address
MATTHEW WILSON MD
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
Mailing Address
MATTHEW WILSON MD
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431