Individual
DR. CHARLES MATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1728 W GLENDALE AVE, SUITE 100, PHOENIX, AZ 85021-8860
(602) 249-0839
(602) 249-0979
Mailing address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13975
AZ
2086S0129X
Vascular Surgery Physician
13975
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260836
—
AZ
Enumeration date
04/21/2006
Last updated
06/03/2020
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