Individual
MR. MATTHEW THOMAS PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9990 DOUBLE R BLVD STE 200, RENO, NV 89521-4833
(775) 348-8800
(775) 348-8818
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(775) 348-8818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2009
NV
363AS0400X
Surgical Physician Assistant
PA2009
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2009
MEDICAL LICENSE
NV
Enumeration date
09/19/2018
Last updated
07/22/2021
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