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Individual

MATTHEW EHRICH STOFFERAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228
Mailing address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14194
NV
207P00000X
Emergency Medicine Physician
C7-0003761
DE
207R00000X
Internal Medicine Physician
C7-0003761
DE

Other

Enumeration date
06/01/2007
Last updated
06/22/2012
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