MATTHEW L DIVIETRO DO
Individual Provider (NPI-1)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1427265867- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 2347 E GALA ST, MERIDIAN, ID, 836424881
- Phone
- (208) 323-3767
Specialties & Taxonomies
Internal Medicine
License: ID #O 0727
Internal Medicine, Critical Care Medicine
License: ID #O 0727
Internal Medicine, Pulmonary Disease
Primary License: ID #O 0727