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Individual
MATTHEW THOMAS STEWART
Active
Individual
MATTHEW THOMAS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
83857
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838571
—
SC
01
—
SCM7145019
MEDICARE PIN
SC
Enumeration date
03/19/2018
Last updated
01/29/2024
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