Individual
PAUL M MATIACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3950 KEENE RD, WEST RICHLAND, WA 99353-4901
(509) 942-3130
(509) 628-8335
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-2516
(509) 942-2527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61192427
WA
Other
Enumeration date
05/28/2019
Last updated
08/12/2024
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