Individual provider · Type 1 NPI

Cody Mattingly

Physician Assistant · Boise, ID

NPI number 1952889685 Active

Practice location

1475 N Cole Rd
Boise, ID 83704-8537

Call (208) 809-2880 Map

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XPA-1677 (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 1952889685

Cody Mattingly's National Provider Identifier is 1952889685, issued on Aug 3, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Feb 25, 2021.