Individual
CAROLYN ANNE MATZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10620 SOUTHERN HIGHLANDS PKWY, SUITE 110-419, LAS VEGAS, NV 89141-4371
(702) 380-1974
(702) 269-5547
Mailing address
10620 SOUTHERN HIGHLANDS PKWY, SUITE 110-419, LAS VEGAS, NV 89141-4371
(702) 380-1974
(702) 269-5547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10187
NV
207R00000X
Internal Medicine Physician
M-10201
ID
208M00000X
Hospitalist Physician
M-10201
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447252911
—
NV
Enumeration date
08/12/2005
Last updated
01/11/2013
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