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

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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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