Individual
DR. MATTHEW ROBERT SARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1648 NW 1ST ST, MERIDIAN, ID 83642-2212
(208) 888-9393
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18456
FL
207Q00000X
Family Medicine Physician
Primary
M-15202
ID
Other
Enumeration date
05/16/2013
Last updated
08/10/2020
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