NPI 1134411408

Adam Matthews, DPM

Practitioner Foot & Ankle Surgery Podiatrist Pocatello, ID

Practice location

Address: 1555 E Clark St, Pocatello, ID 83201-4133
Phone: (224) 688-0624

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P216 (ID)

Other Podiatrist providers in Idaho →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P216 (ID)

Registry record

NPI: 1134411408
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2011
Record last updated: 18 Mar 2021

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.