MATT TANNENBAUM, MD

Pathology - Anatomic Pathology & Clinical Pathology

Active Individual
NPI: 1093783375

Practice Address

3100 CHANNING WAY
Idaho Falls, ID 83404

Phone: (208) 529-6050

Specialties

Specialty Code Primary License
Pathology - Anatomic Pathology & Clinical Pathology 207ZP0102X Yes M7775 (ID)

Frequently Asked Questions

NPI 1093783375 is the National Provider Identifier for MATT TANNENBAUM, MD, a Pathology - Anatomic Pathology & Clinical Pathology provider located in Idaho Falls, ID. This NPI was enumerated on March 10, 2006.
MATT TANNENBAUM, MD practices at 3100 CHANNING WAY, Idaho Falls, ID 83404.

Quick Facts

NPI
1093783375
Type
Individual
Enumerated
Mar 10, 2006
Last Updated
Dec 27, 2012

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