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CODY MATTINGLY
Physician Assistant
NPI: 1952889685IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA-1677(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 1475 N COLE RD
BOISE, ID 83704 - Phone
- (208) 809-2880
Quick Facts
- NPI
- 1952889685
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 8
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