Individual
MATTHEW ROBERT LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(520) 228-2522
Mailing address
331 SIJAN AVE, WHITEMAN AFB, MO 65305
(660) 687-6066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10287
AZ
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
09/30/2024
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