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Individual
WAYNE MATTHEWS
Active
Individual
WAYNE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A28635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A286350
—
CA
01
—
010994
HEALTH NET
CA
01
—
12454
INTERPLAN
CA
01
—
25529
FIRST HEALTH
CA
01
—
4119623
AETNA
CA
01
—
6066550
CIGNA
CA
01
—
657319
GREAT WEST
CA
01
—
726411
UNITED HEALTHCARE
CA
01
—
90015434
PACIFICARE
CA
01
—
A28635
BLUE CROSS
CA
01
—
MCMG321900
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
07/08/2007
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