Individual
MATTHEW FREMONT FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-3303
(505) 262-9200
(505) 262-9201
Mailing address
1901 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-3303
(505) 262-9200
(505) 262-9201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2009-0027
NM
Other
Enumeration date
09/29/2009
Last updated
12/09/2011
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