Individual
DR. MATTHEW HARDY ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-6185
(208) 356-0378
Mailing address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-6185
(208) 356-0378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2013020281
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
O-1026
ID
Other
Enumeration date
06/21/2013
Last updated
01/29/2019
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