Matthew J. Fackrell, DO
Family Medicine · Blackfoot, ID
UnclaimedDONPI 1215968045
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2006-07-06
- Practice location
- Blackfoot, ID
- Last NPPES update
- 2024-10-22
State licenses
- CO · Osteopathic physician · NPPES self-reportedListed on NPI record
- OR · Osteopathic physician · NPPES self-reportedListed on NPI record
- PA · Osteopathic physician · NPPES self-reportedListed on NPI record
- WA · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.