MATTHEW FACKRELL, DO

Family Medicine

Active Individual
NPI: 1215968045

Practice Address

1441 PARKWAY DR
Blackfoot, ID 83221

Phone: (208) 785-2600

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes DR.0073268 (CO)

Frequently Asked Questions

NPI 1215968045 is the National Provider Identifier for MATTHEW FACKRELL, DO, a Family Medicine provider located in Blackfoot, ID. This NPI was enumerated on July 6, 2006.
MATTHEW FACKRELL, DO practices at 1441 PARKWAY DR, Blackfoot, ID 83221.

Quick Facts

NPI
1215968045
Type
Individual
Enumerated
Jul 6, 2006
Last Updated
Oct 22, 2024

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