Individual
ALLEN SEBASTIAN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2316 HARRISON AVE, EUREKA, CA 95501-3217
(707) 444-2534
(707) 441-0344
Mailing address
2316 HARRISON AVE, EUREKA, CA 95501-3217
(707) 444-2534
(707) 441-0344
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G84898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G848980
—
CA
Enumeration date
09/14/2006
Last updated
04/23/2024
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