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Individual

DR. MATTHEW RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
803 S MAIN ST STE 120, MOSCOW, ID 83843-2695
(208) 848-8300
(509) 444-7806
Mailing address
203 N WASHINGTON ST STE 300, SPOKANE, WA 99201-0254
(509) 444-8888
(509) 444-7806

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O229
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080147977
RAILROAD MEDICARE
ID
05
805561800
ID
Enumeration date
09/25/2006
Last updated
05/23/2019
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