Individual
MR. MATTHEW A MATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6900 PEARL ROAD, 2ND FLOOR, MIDDLEBURG HEIGHTS, OH 44130-3639
(440) 845-0900
(440) 845-7355
Mailing address
6900 PEARL ROAD, 2ND FLOOR, MIDDLEBURG HEIGHTS, OH 44130-3639
(440) 845-0900
(440) 845-7355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000676
OH
363AS0400X
Surgical Physician Assistant
50.000676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117576
—
OH
Enumeration date
03/15/2006
Last updated
02/19/2019
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