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Individual
MATTHEW COLVIN
Active
Individual
MATTHEW COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004729RX
OH
363A00000X
Physician Assistant
Primary
704
WV
363A00000X
Physician Assistant
TC335
KY
Other
Enumeration date
10/30/2014
Last updated
11/23/2020
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