Individual provider · Type 1 NPI

Matthew Fehrenbacker

Medical Physician Assistant · Boise, ID

NPI number 1730706649 Active

Practice location

6533 W Emerald St
Boise, ID 83704-8737

Call (208) 302-5200 Map

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 3398 Windmill Dr, Santa Clara, UT 84765-5193 · (435) 619-7720

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X7381621 (ID)

Medical Physician Assistant: Definition to come...

17 other providers at this address

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About NPI 1730706649

Matthew Fehrenbacker's National Provider Identifier is 1730706649, issued on Jun 26, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Aug 31, 2026.