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Individual

DR. MATTHEW W DOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2550 ADDISON AVE E, SUITE E, TWIN FALLS, ID 83301-6749
(208) 814-7780
(208) 814-7746
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M11589
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255575619
ID
Enumeration date
04/28/2009
Last updated
12/10/2014
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