Individual
DR. EVAN MATSHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FRCPC
Contact information
Practice address
2222 UPTOWN LOOP NE, ALBUQUERQUE, NM 87110-6029
(530) 574-9219
Mailing address
2222 UPTOWN LOOP NE, ALBUQUERQUE, NM 87110-6029
(530) 574-9219
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MD2012-0177
NM
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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