Individual
MATTHEW S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 AVIATION WAY, CALDWELL, ID 83605-1154
(208) 302-7100
(208) 302-7189
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M7233
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804218100
—
ID
Enumeration date
06/14/2006
Last updated
08/27/2025
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