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Individual
MR. MATTHEW STAUB
Active
Individual
MR. MATTHEW STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS, PA
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT002433A
PA
363A00000X
Physician Assistant
Primary
MA059168
PA
Other
Enumeration date
12/02/2011
Last updated
03/17/2026
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