Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW J FACKRELL, DO
ActiveMATTHEW J FACKRELL, DO is a Family Medicine healthcare provider located in BLACKFOOT, Idaho. NPI 1215968045 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLACKFOOT, ID
Registration Details
- NPI Number
- 1215968045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.087421578847 yrs)
- Last Updated
- Oct 22, 2024
- Licenses
-
OP61556804 (WA)DO221842 (OR)OS024313 (PA)DR.0073268 (CO)
Practice Information
- Address
-
1441 PARKWAY DRBLACKFOOT, ID, 832211667Browse ID providers · Browse ZIP 83221
- Phone
- 2087852600
- Fax
- 2087858185
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| FRANCIS BRYCE MOSER | DO | 1770541146 |
| PEGGY TORO | MD | 1053379461 |
| DR. THOMAS CALL | DO | 1699723569 |
| BRIAN CARRIGAN | MD | 1457300279 |
| GORDON E DIXON JR. | DO | 1578518395 |
| GARY W SOUCIE | MD | 1255386082 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.