Organization
R. MICHAEL MATCHETT, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL MATCHETT M.D. (PRESIDENT)
(757) 481-1278
Entity
Organization
Contact information
Practice address
1018 CATON DR, VIRGINIA BEACH, VA 23454-3140
(757) 481-1278
Mailing address
1018 CATON DR, VIRGINIA BEACH, VA 23454-3140
(757) 481-1278
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101032294
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5731046
—
VA
Enumeration date
05/22/2007
Last updated
11/11/2009
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