Individual
MR. MATTHEW B PULEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 242-5309
Mailing address
2222 E HIGHLAND AVE, SUITE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 242-5309
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2923
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093164
—
AZ
01
—
2923
LICENSE #
AZ
Enumeration date
05/11/2006
Last updated
07/19/2013
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