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NPI 1124022801

IndividualActive

Matthew Reeck, MD

NPI 1124022801 · Dermatology Physician · Ketchum, ID

Provider details

NPI number: 1124022801
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 01054306A (IN)

Practice location

191 W 5th St

Ketchum, ID 83340-0000

Phone: (208) 725-2171

More ID providers

Mailing address

190 E Bannock St

Boise, ID 83712-6241

Registry dates

Enumerated: 2005-06-09
Last updated: 2014-02-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Matthew Reeck, MD — NPI 1124022801, Ketchum, ID | NPI Central