Individual
NATHAN MICHAEL MATWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
1733 E LOUIS WAY, TEMPE, AZ 85284-1676
(480) 250-7157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
008584
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008207
—
AZ
Enumeration date
05/31/2016
Last updated
08/21/2020
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