Individual
MATTHEW DUERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 PIONEER CT, JEROME, ID 83338-5193
(208) 324-3471
(208) 324-9191
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10726
ID
390200000X
Student in an Organized Health Care Education/Training Program
2011
CO
Other
Enumeration date
02/20/2007
Last updated
11/26/2012
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