NPI 1124022801

Matthew C Reeck, MD

Practitioner Dermatology Physician Ketchum, ID

Practice location

Address: 191 W 5th St, Ketchum, ID 83340-0000
Phone: (208) 725-2171
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M11887 (ID)

Other Dermatology providers in Idaho →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01054306A (IN)

Registry record

NPI: 1124022801
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2005
Record last updated: 5 Feb 2014

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.