Whalio Doctors

NPI 1063563823

Matthew P Traynor, MD

Practitioner Glaucoma Specialist (Ophthalmology) Physician Idaho Falls, ID

Practice location

Address
2100 Providence Way, Idaho Falls, ID 83404
Phone
(208) 529-6600
Fax
(208) 529-6602
Mailing address
2100 Providence Way, Idaho Falls, ID 83404-4951

Registered specialties (3)

Glaucoma Specialist (Ophthalmology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207WX0009X Licence M-10686 (ID)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M-10686 (ID)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 24632 (OK)

Registry record

NPI
1063563823
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jan 2007
Record last updated
21 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.