Individual
WALTER MARK MATTHEWS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 W CASABLANCA CANNON AFB, BLDG 1400 27 MEDICAL GROUP, CLOVIS, NM 88103-5014
(505) 784-6608
(505) 784-6028
Mailing address
208 W CASABLANCA CANNON AFB, BLDG 1400 27 MEDICAL GROUP, CLOVIS, NM 88103-5014
(505) 784-6608
(505) 784-6028
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
K2750
TX
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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