Individual
DR. IAN M MATSUURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 PALISADES AVE, SANTA MONICA, CA 90402-2733
(952) 595-1100
(614) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G84323
CA
2085R0202X
Diagnostic Radiology Physician
ME85147
FL
Other
Enumeration date
05/11/2006
Last updated
11/12/2014
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