IndividualActive
Adam Matthews, DPM
NPI 1134411408 · Foot & Ankle Surgery Podiatrist · Pocatello, ID
Provider details
- NPI number
- 1134411408
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- P216 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1555 E Clark St
Pocatello, ID 83201-4133
Phone: (224) 688-0624
Approximate (ZIP-level) locationGet directions
Mailing address
1555 E Clark St
Pocatello, ID 83201-4133
Registry dates
- Enumerated
- 2011-05-05
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.