Matrix Medical Network Of Idaho, L.l.c

NPI No. 1659687812 - Nurse Practitioner/Family

 

Contacts & Locations

Practice Address

  • 4545 E Shea Blvd
    Suite 175
    Phoenix, Arizona 85028, US
  • Phone: (602) 464-5200
  • Fax: (480) 907-2108

Office Address

  • 4545 E Shea Blvd
    Suite 175
    Phoenix, Arizona 85028, US
  • Phone: (602) 464-5200

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Matrix Medical Network Of Idaho, L.l.c Information

Matrix Medical Network Of Idaho, L.l.c is registered as an Organization entity type. Matrix Medical Network Of Idaho, L.l.c NPI is 1659687812. You can also contact Matrix Medical Network Of Idaho, L.l.c via phone number (602) 464-5200. The provider is listed as Nurse Practitioner/Family.

About NPI No.

  • NPI: 1659687812 (Organization)
  • Name: Matrix Medical Network Of Idaho, L.l.c
  • Organization: Hospitals, home health agencies, ambulance companies, health maintenance organizations, durable medical equipment suppliers, pharmacies, etc.
  • Taxonomy

  • Taxonomy code: 363LF0000X
  • Taxonomy specialization: Nurse Practitioner/Family
  • Primary taxonomy: Yes
  • Enumeration date: August 26, 2010
  • Last Update date: August 26, 2010

Authorized Official

  • Thomas R Young MD
  • Title: Practice Owner
  • Phone: (602) 464-5200

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