IndividualActive
Matthew Burtelow, M.D.
NPI 1760670285 · Anatomic Pathology & Clinical Pathology Physician · Boise, ID
Provider details
- NPI number
- 1760670285
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A88725 (CA)
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2367
Fax: (208) 381-4762
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2007-10-10
- Last updated
- 2009-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.