# MATTHEW SALAZAR SURRUSCO

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

## Provider details

- **NPI number:** 1841559820
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | MD60875669 | WA | — |
| 2086S0102X | Surgical Critical Care Physician | MC-2774 | ID | — |
| 2086S0127X | Trauma Surgery Physician | MD60875669 | WA | Yes |

## Other

- **Enumeration date:** 05/10/2012
- **Last updated:** 10/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2105120 | — | WA |