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Individual

DR. MATTHEW D KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 925-7759
(505) 272-4156
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 925-7759
(505) 272-4156

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2007007773
MO
208800000X
Urology Physician
E6011
AR
208800000X
Urology Physician
Primary
MD2022-0970
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180091001
AR
05
207306101
MO
Enumeration date
02/06/2007
Last updated
01/04/2024
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