Matthew J Fackrell, DO

NPI #1215968045 in Blackfoot, Idaho

Provider Information

NPI Number: 1215968045
Entity Type: Individual
Name: Matthew J Fackrell, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jul 6, 2006
Last Updated: Oct 22, 2024

Practice Location

Address: 1441 PARKWAY DR
City: Blackfoot
State: Idaho
ZIP Code: 83221-1667
Phone: (208) 785-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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