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Search › Idaho › 207Q00000X

Matthew Widdison, MD

NPI 1932789260 · on the registry since 2021

Practice

Address
2100 Alan St
Idaho Falls, ID 83404
Phone
(208) 528-7655
Organisation at this address
Community Council Of Idaho Inc
Community Council Of Idaho, Inc
Community Council Of Idaho, Inc
Community Council Of Idaho, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 4002 E 397 N, Rigby, ID

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho