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1194871871
MATTHEW R SERICATI
BOISE, ID
NPI
1194871871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: ID M-10669)
Enumeration Date
2007-01-26
Last Update Date
2019-07-19
Business Address
MATTHEW R SERICATI MD
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-6458
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Mailing Address
MATTHEW R SERICATI MD
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-1702
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