# DR. MATTHEW RYAN COUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558900712
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | OT024096 | PA | Yes |
| 2083A0100X | Aerospace Medicine Physician | 0102206795 | VA | — |
| 208D00000X | General Practice Physician | 0102206795 | VA | — |

## Other

- **Enumeration date:** 01/04/2020
- **Last updated:** 05/13/2025
