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Individual

SCOTT THOMAS MATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 NE 139TH ST STE 220, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1616
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2008017175
MO
208800000X
Urology Physician
036137930
IL
208800000X
Urology Physician
Primary
MD61022696
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2155108
WA
Enumeration date
06/23/2008
Last updated
05/22/2020
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