MR. Matthew David Black, H.I.S.
NPI #1639718745 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1639718745
- Entity Type
- Individual
- Name
- MR. Matthew David Black, H.I.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Hearing Instrument Specialist
- Credential
- H.I.S.
- Enumeration Date
- Jan 6, 2020
- Last Updated
- Jan 6, 2020
Practice Location
- Address
- 3656 WASHINGTON PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7573
- Phone
- (208) 529-4969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hearing Instrument Specialist |
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