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Organization
MATTHEW M. DO. DPM A PROFFESIONAL CORPORATION
Active
Organization
MATTHEW M. DO. DPM A PROFFESIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW M DO DPM (DOCTOR OF PODIATRIC MEDICINE)
(949) 645-3338
Entity
Organization
Contact information
Practice address
275 VICTORIA ST, STE 1D, COSTA MESA, CA 92627-1906
(949) 645-3338
Mailing address
275 VICTORIA ST, STE 1D, COSTA MESA, CA 92627-1906
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3881
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E3881
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3881
CA
Other
Enumeration date
01/31/2007
Last updated
11/15/2007
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