Individual
MATTHEW THOMAS WEICHBRODT
Active
Individual
MATTHEW THOMAS WEICHBRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4744
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4744
AZ
207XX0801X
Orthopaedic Trauma Physician
4744
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321626
—
AZ
01
—
5550830001
MEDICARE NSC SCW
AZ
01
—
5550830003
MEDICARE NSC PEORIA
AZ
01
—
5550830004
MEDICARE NSC PV
AZ
01
—
5550830006
MEDICARE NSC ANTHEM
AZ
01
—
5550830007
MEDICARE NSC DV
AZ
01
—
5550830008
MEDICARE NSC SWV
AZ
01
—
5550830009
MEDICARE NSC AZ NORTH
AZ
01
—
5550830010
MEDICARE NSC GILBERT
AZ
01
—
P00688674
RR MEDICARE
AZ
Enumeration date
05/15/2007
Last updated
04/29/2025
Update your record
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