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1609828003
BRIAN D MATTESON
BOISE, ID
NPI
1609828003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: ID M-9277)
Enumeration Date
2006-05-16
Last Update Date
2013-08-29
Business Address
-- BRIAN D MATTESON M.D.
333 N 1ST ST #280
BOISE, ID 83702-6100
Phone number: 208-345-6545
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Mailing Address
-- BRIAN D MATTESON M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-345-6545
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