Individual
MATTHEW M BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 W CHINDEN BLVD, GARDEN CITY, ID 83714-1463
(208) 809-2865
(208) 947-1945
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M9026
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806939200
—
ID
Enumeration date
06/05/2006
Last updated
11/24/2025
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