Individual
MATTHEW JOHN ARENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00044858
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00044858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200021
LIWA
WA
01
—
0203057
LIWA
WA
01
—
2515AR
BSWA
WA
01
—
6251AR
BSWA
WA
05
—
8431413
—
WA
Enumeration date
06/10/2006
Last updated
10/19/2018
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