Individual
DR. MATTHEW E WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
777 HOSPITAL WAY, BLDG B, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
2265 E SUNNYSIDE RD, IDAHO FALLS, ID 83404-7598
(208) 542-5000
(208) 542-5151
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102206546
VA
2085R0202X
Diagnostic Radiology Physician
Primary
O-334
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807225800
—
ID
Enumeration date
02/27/2006
Last updated
09/11/2023
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