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MATTHEW KENJI TECHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 N 2ND ST STE 307, BOISE, ID 83702-6131
(208) 381-7335
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.144964
OH
2084N0400X
Neurology Physician
Primary
M-17138
ID

Other

Enumeration date
03/02/2015
Last updated
06/09/2023
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