Matthew M DO. Dpm, A Professional Corporation
Podiatrist in Anaheim, CA. Organization (NPI-2).
NPI number1104963545
StatusActive
Last updated in NPPESMar 17, 2008
Details
- NPI
- 1104963545
- Entity type
- Organization (NPI-2)
- Legal business name
- Matthew M DO. Dpm, A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Feb 1, 2007
- Last updated
- Mar 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | E3881 | CA | Yes |
Practice location
934 S Euclid StAnaheim, CA 92802-1523
Phone 714-533-3668 · Fax 714-533-3669
Mailing address
934 S Euclid StAnaheim, CA 92802-1523
Phone 714-533-3668 · Fax 714-533-3669
Authorized official
Matthew DO
Podiatrist
7145333668
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