Individual
DR. MATTHEW MINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 E CAMELBACK RD STE 100, PHOENIX, AZ 85016-4363
(480) 576-4310
(480) 576-4311
Mailing address
2801 E CAMELBACK RD STE 100, PHOENIX, AZ 85016-4363
(480) 576-4310
(480) 576-4311
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
63901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63901
ARIZONA MEDICAL LICENSE
AZ
01
—
S1660
TEXAS MEDICAL LICENSE
TX
Enumeration date
09/25/2009
Last updated
01/17/2024
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