Individual
DR. MATTHEW POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2161
(208) 367-2989
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8100
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5924082-1205
UT
2085R0202X
Diagnostic Radiology Physician
A111208
CA
2085R0202X
Diagnostic Radiology Physician
Primary
M-13633
ID
Other
Enumeration date
05/03/2006
Last updated
04/09/2018
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