Individual
MR. MATHEW BYRON HUTCHINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4327 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6287
(530) 621-7700
(530) 621-7713
Mailing address
4327 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6287
(530) 621-7700
(530) 621-7713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-C0146
NV
363AM0700X
Medical Physician Assistant
Primary
PA18464
CA
363AS0400X
Surgical Physician Assistant
PA0146
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506751
—
NV
Enumeration date
07/05/2005
Last updated
02/13/2012
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