Individual
MR. GEO T MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1408 COMMERCIAL WAY, BAKERSFIELD, CA 93309-0407
(661) 327-4455
(661) 633-5484
Mailing address
1408 COMMERCIAL WAY, BAKERSFIELD, CA 93309-0407
(661) 327-4455
(661) 633-5484
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0146270
—
CA
Enumeration date
04/10/2006
Last updated
02/02/2012
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