Individual
MS. ELIZABETH A. MATRAY
Active
Individual
MS. ELIZABETH A. MATRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA000671L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970003993
RAILROAD MEDICARE
PA
01
—
PA0031259
TRICARE
PA
Enumeration date
11/07/2006
Last updated
12/30/2011
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