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Individual

MATTHEW THOMAS GENTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, FNP

Contact information

Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-2600
(208) 302-2625

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56478
ID

Other

Enumeration date
07/31/2017
Last updated
09/01/2017
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