Individual
MATTHEW HULQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N ROBBINS RD STE 100, BOISE, ID 83702-4539
(208) 381-1615
(208) 381-5141
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M8786
ID
Other
Enumeration date
06/03/2006
Last updated
09/02/2025
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