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:birthDate1975-03-05engus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
Person:countryusengus_hhs_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:lastNameBLACKengus_hhs_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: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:topicsdebarmentengus_hhs_exclusionsus-fed-excl-matthew-roger-black-83404-idaho-falls
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