NPI 1639718745

Matthew David Black, HIS

Practitioner Hearing Instrument Specialist Idaho Falls, ID

Practice location

Address: 3656 Washington Pkwy, Idaho Falls, ID 83404-7573
Phone: (208) 529-4969

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence HA3634 (ID)

Other Hearing Instrument Specialist providers in Idaho →

Registry record

NPI: 1639718745
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2020
Record last updated: 6 Jan 2020

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.