MATTHEW AARON DOUGLASS

REXBURG, ID
NPI1396509311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  CNP-78862)
Enumeration Date2024-02-09
Last Update Date2025-05-15
Business Address
MATTHEW AARON DOUGLASS PMHNP
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-4840
Mailing Address
MATTHEW AARON DOUGLASS PMHNP
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-4840
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