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1316985229
MATTHEW J MERZLOCK
IDAHO FALLS, ID
NPI
1316985229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-553)
Enumeration Date
2006-06-03
Last Update Date
2013-03-12
Business Address
-- MATTHEW J MERZLOCK PA-C
3360 WASHINGTON PKWY STE 1
IDAHO FALLS, ID 83404-8333
Phone number: 208-524-3416
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Mailing Address
-- MATTHEW J MERZLOCK PA-C
3360 WASHINGTON PKWY STE 1
IDAHO FALLS, ID 83404-8333
Phone number: 208-524-3416
Copy
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