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Individual
JOHN QA MATTERN
Active
Individual
JOHN QA MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0102201424
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005886945
—
VA
01
—
210242
SOUTHERN HEALTH
VA
01
—
2202367
FIRST HEALTH
VA
01
—
466150
ANTHEM
VA
01
—
5748409
CIGNA
VA
01
—
5886945
VA PREMIER
VA
01
—
64916
OPTIMA
VA
Enumeration date
02/09/2006
Last updated
09/08/2021
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