MATRIX MEDICAL NETWORK OF IDAHO, L.L.C

NPI # 

Practice Address:

4545 E Shea Blvd , Suite 175

Phoenix, AZ, 85028-3074

Practice Phone:

602-464-5200

Practice Fax:

480-907-2108

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 8/26/2010. You can view the original data set for NPI # 1659687812 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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MATRIX MEDICAL NETWORK OF IDAHO, L.L.C's

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