Statements: MATTHEW ROGER BLACK

Canonical ID: NK-2Gp7cZDTYf9NHqr8RzHj83 · Entity type: Person (reference)

PropertyValueLangSource datasetSource IDFirst seen
Person:address2961 SANDSTONE DR, IDAHO FALLS, ID 83404engus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:address1683 Laguna Drive, Idaho Falls ID 83404engus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:addressIDAHO FALLS, ID 83404engus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:birthDate1975-03-05us_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:countryusus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:countryusus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:countryusus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:createdAt2017-12-19us_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:createdAt2017-07-20us_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:descriptionLicense No: H69899engus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:firstNameMatthewengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:firstNameMATTHEWengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:firstNameMATTHEWengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:id910fa2fb924463673fbe3856ca90dffa26bb71deus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:idff81a0a63e679a0001200efd9632beec85a04260us_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:id2b6c9e2779208a1c3b08342a24cb32fc8a378be8us_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:id414b383e713439cae37e61ab02ac6aeadc12c38dus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:lastNameBlackengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:lastNameBLACKengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:lastNameBLACKengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:middleNameROGERengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:middleNameROGERengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:nameMATTHEW ROGER BLACKengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:nameMATTHEW ROGER BLACKengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:nameMatthew Blackengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:npiCode1437339900engus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:npiCode1437339900engus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:npiCode1437339900engus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:positionEMERGENCY MEDICINE (PHYSICIAN (MD, DO))engus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:programIdUS-HHS-OIGengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:sectorDOengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:topicsdebarmentus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:topicsdebarmentus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:topicsdebarmentus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
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