MATTHEW R NELSON

IDAHO FALLS, ID
NPI1649221912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA540)
Enumeration Date2006-05-12
Last Update Date2014-10-15
Business Address
-- MATTHEW R NELSON PA C
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404-8281
Phone number: 208-522-7246
Mailing Address
-- MATTHEW R NELSON PA C
2375 E SUNNYSIDE RD SUITE J
IDAHO FALLS, ID 83404-8280
Phone number: 208-522-7246
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