Individual provider · Type 1 NPI

Matthew Frank Ivie, PA-C

Medical Physician Assistant · Gooding, ID

NPI number 1003325937 Active

Practice location

267 N Canyon Dr
Gooding, ID 83330-5500

Call (208) 934-4433 Map

Mailing address

940 E 1400 N
Shelley, ID 83274-5143

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

38 other providers at this address

Other medical physician assistant providers in Gooding

See all in Gooding →

About NPI 1003325937

Matthew Frank Ivie, PA-C's National Provider Identifier is 1003325937, issued on Sep 22, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gooding, ID. The record was last updated on Sep 22, 2017.