Individual
H PRESTON MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2121 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-3307
(505) 237-8800
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A83286
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040949
—
NM
01
—
34K606064
MEDICARE PTAN
NM
Enumeration date
07/26/2006
Last updated
10/29/2024
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