Individual
DR. BRENT BURTIS MATHIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
4130 W PLUM ST, BOISE, ID 83703-4417
(208) 338-5590
Mailing address
4130 W PLUM ST, BOISE, ID 83703-4417
(208) 338-5590
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NAT - 62
ID
175L00000X
Homeopath
—
—
Other
Enumeration date
10/19/2006
Last updated
04/18/2014
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