MATTHEW JAMES WOLTER

BOISE, ID
NPI1528552031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  MRO1909)
Enumeration Date2018-06-18
Last Update Date2022-08-02
Business Address
MATTHEW JAMES WOLTER
3145 S FALLING BROOK LN
BOISE, ID 83706-5205
Phone number: 208-631-6426
Mailing Address
MATTHEW JAMES WOLTER
3145 S FALLING BROOK LN
BOISE, ID 83706-5205
Phone number: 208-631-6426