Organization
MOUNTAINS EDGE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PAPPY M.D. (SOLE OWNER)
(405) 740-5017
Entity
Organization
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581
(608) 647-6321
Mailing address
2660 CRIMSON CANYON DR STE 130, LAS VEGAS, NV 89128-0846
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66303
WI
207Q00000X
Family Medicine Physician
DR0057605
CO
207Q00000X
Family Medicine Physician
MD60688815
WA
Other
Enumeration date
09/30/2016
Last updated
12/29/2022
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