IndividualActive
Matthew Sericati, MD
NPI 1194871871 · Gastroenterology Physician · Boise, ID
Provider details
- NPI number
- 1194871871
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-10669 (ID)
Practice location
425 W Bannock St
Boise, ID 83702-6035
Phone: (208) 343-6458
Fax: (208) 343-5031
Mailing address
425 W Bannock St
Boise, ID 83702-6035
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2019-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.