MATTHEW JOSEPH BERRIA

FRUITLAND, ID
NPI1982791810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA00573)
Enumeration Date2006-10-10
Last Update Date2023-08-16
Business Address
Mr. MATTHEW JOSEPH BERRIA PA
1100 NW 12TH ST
FRUITLAND, ID 83619-5040
Phone number: 208-452-6556
Mailing Address
Mr. MATTHEW JOSEPH BERRIA PA
1100 NW 12TH ST
FRUITLAND, ID 83619-5040
Phone number: 208-452-6556