Individual provider · Type 1 NPI

Matthew Dukelow

Physician Assistant · Boise, ID

NPI number 1861174997 Active

Practice location

6052 W State St
Boise, ID 83703-2739

Call (208) 344-7799 Map

Fax (208) 344-7152

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7971574 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861174997

Matthew Dukelow's National Provider Identifier is 1861174997, issued on Aug 7, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Oct 1, 2025.