MATTHEW DIVIETRO, DO

Internal Medicine - Pulmonary Disease

Active Individual
NPI: 1427265867

Practice Address

2347 E GALA ST
Meridian, ID 83642

Phone: (208) 323-3767

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No O 0727 (ID)
Internal Medicine - Critical Care Medicine 207RC0200X No O 0727 (ID)
Internal Medicine - Pulmonary Disease 207RP1001X Yes O 0727 (ID)

Frequently Asked Questions

NPI 1427265867 is the National Provider Identifier for MATTHEW DIVIETRO, DO, a Internal Medicine - Pulmonary Disease provider located in Meridian, ID. This NPI was enumerated on May 16, 2007.
MATTHEW DIVIETRO, DO practices at 2347 E GALA ST, Meridian, ID 83642.

Quick Facts

NPI
1427265867
Type
Individual
Enumerated
May 16, 2007
Last Updated
Aug 24, 2022

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