MATTHEW THOMAS CARR

MCCALL, ID
NPI1629846423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2632)
Enumeration Date2023-12-12
Last Update Date2024-02-19
Business Address
MATTHEW THOMAS CARR
211 FOREST ST
MCCALL, ID 83638-5256
Phone number: 208-634-2225
Mailing Address
MATTHEW THOMAS CARR
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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