Individual
MATTHEW GATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 E 11TH ST, SUPERIOR, NE 68978-1101
(402) 879-4781
(402) 879-3365
Mailing address
525 E 11TH ST, SUPERIOR, NE 68978-1101
(402) 879-4781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002082
IA
363A00000X
Physician Assistant
15-01506
KS
363A00000X
Physician Assistant
Primary
NE1529
NE
363A00000X
Physician Assistant
PA06728
TX
Other
Enumeration date
02/18/2010
Last updated
09/16/2020
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