Individual
VICTORIA MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 MAPLE AVE STE 200, RICHMOND, VA 23226-2553
(804) 285-2300
(804) 288-2850
Mailing address
PO BOX 71690, RICHMOND, VA 23255-1690
(804) 288-2830
(804) 288-2850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101259546
VA
207X00000X
Orthopaedic Surgery Physician
0101259546
VA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
0101259546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03050882
—
NM
05
—
MD2359
—
AK
Enumeration date
06/18/2006
Last updated
08/15/2019
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