Provider Demographics
NPI:1477718716
Name:TOLD, MATTHEW W (DO)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:W
Last Name:TOLD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:607 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRANGEVILLE
Mailing Address - State:ID
Mailing Address - Zip Code:83530-1345
Mailing Address - Country:US
Mailing Address - Phone:208-983-8590
Mailing Address - Fax:208-983-8580
Practice Address - Street 1:607 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GRANGEVILLE
Practice Address - State:ID
Practice Address - Zip Code:83530-1345
Practice Address - Country:US
Practice Address - Phone:208-983-8590
Practice Address - Fax:208-983-8580
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2020-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDO-0745207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine