Individual
DR. MATTHEW CARSON PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,DVM
Contact information
Practice address
DEPARTMENT OF STATE 2401 E STREET NW, WASHINGTON, DC 20522-1430
(844) 355-7673
(844) 355-7673
Mailing address
5010 WARSAW PL APT 31, DULLES, VA 20189-5010
(844) 355-7673
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33439257
—
CO
Enumeration date
09/22/2006
Last updated
02/27/2023
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