Individual
MATTHEW AARON TAINTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SALMON CREEK LANE, JUNEAU, AK 99801
(907) 463-4012
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MEDS7593
AK
208000000X
Pediatrics Physician
MEDS7593
AK
208M00000X
Hospitalist Physician
Primary
MEDS7593
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1579297
—
AK
Enumeration date
10/31/2008
Last updated
05/07/2024
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