Individual
MR. JOSHUA F MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4375 N. VANTAGE DR., SUITE 305, FAYETTEVILLE, AR 72703-4984
(479) 443-5100
(479) 443-5117
Mailing address
4375 N. VANTAGE DR., SUITE 305, FAYETTEVILLE, AR 72703-4984
(479) 443-5100
(479) 443-5117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1070
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101070
—
OK
Enumeration date
06/16/2005
Last updated
04/29/2014
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