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Individual

MATTHEW COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
705 WASHINGTON ST, RAVENSWOOD, WV 26164-1729
(304) 868-8000
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 429-3109

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004729RX
OH
363A00000X
Physician Assistant
Primary
704
WV
363A00000X
Physician Assistant
TC335
KY

Other

Enumeration date
10/30/2014
Last updated
11/23/2020
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