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MATTHEW ROGER BLACK

Debarred entity
TypePerson[sources]
NameMATTHEW ROGER BLACK · Matthew Black[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
DescriptionLicense No: H69899[sources]
First nameMatthew[sources]
Last nameBlack[sources]
Middle nameROGER[sources]
NPI1437339900[sources]
SectorDO[sources]
PositionEMERGENCY MEDICINE (PHYSICIAN (MD, DO))[sources]
Address1683 Laguna Drive, Idaho Falls ID 83404 · 2961 SANDSTONE DR, IDAHO FALLS, ID 83404 · IDAHO FALLS, ID 83404, USA[sources]
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Relationships

Data sources

US SAM Procurement Exclusions105,756

A database of suppliers who have been excluded from participating in US federal procurement.

United States of America · GSA

US Health and Human Sciences Inspector General Exclusions80,952

People and companies excluded from Federally funded health care programs

United States of America · OIG

US Maryland Sanctioned Providers1,575

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States of America · MDH


Source data IDs: us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c · us-fed-excl-matthew-roger-black-83404-idaho-falls

For experts: raw data explorer