Individual
PAUL G MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 E 2ND ST, CASPER, WY 82609-4348
(307) 266-4000
(307) 233-0266
Mailing address
PO BOX 51088, CASPER, WY 82605-1088
(307) 266-4000
(307) 233-0266
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00126097
MISSISSIPPI MEDICAID
MS
05
—
009960280
—
AL
01
—
020049379
RAILROAD MEDICARE
AL
01
—
051502336
BLUE CROSS
AL
05
—
051502336
—
AL
01
—
051502338
BLUE CROSS
AL
05
—
153934500
—
WY
Enumeration date
07/03/2006
Last updated
01/08/2020
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