Individual
MR. RUSSELL MATKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3430 IRBY DR APT 509, APT 509, CONWAY, AR 72034-7656
(501) 733-0724
Mailing address
3430 IRBY DR APT 509, APT 509, CONWAY, AR 72034-7656
(501) 733-0724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-498
AR
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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