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Individual
MATTHEW SALAZAR SURRUSCO
Active
Individual
MATTHEW SALAZAR SURRUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60875669
WA
2086S0102X
Surgical Critical Care Physician
MC-2774
ID
2086S0127X
Trauma Surgery Physician
Primary
MD60875669
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105120
—
WA
Enumeration date
05/10/2012
Last updated
10/28/2024
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