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 83404, USAengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:birthDate1975-03-05engus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:countryusengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:countryusengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:countryusengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:createdAt2017-07-20engus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:createdAt2017-12-19engus_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_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:firstNameMATTHEWengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:id0bb06df1e0f4c8de55f02e57c241c15378aef665engus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:id3a2e283a007dba379e426b198776a7d09d67408eengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:id24bda485a977defa502751edbb6d2fd2f2b3dde7engus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:idff81a0a63e679a0001200efd9632beec85a04260engus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:lastNameBlackengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:lastNameBLACKengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:lastNameBLACKengus_hhs_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_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:nameMatthew Blackengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
Person:nameMATTHEW ROGER BLACKengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
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:topicsdebarmentengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:topicsdebarmentengus_sam_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:topicsdebarmentengus_md_med_exclusionsus-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
  • Previous
  • 1 - 34 of 34
  • Next