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Individual

PETER J MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4135 S POWER RD, #120, MESA, AZ 85212-3626
(480) 985-8478
(480) 985-0175
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18945
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288630
AZ
Enumeration date
08/03/2005
Last updated
04/12/2017
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