Individual
DR. MATTHEW ALLEN DE NIEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
4860 Y ST STE 2400, SACRAMENTO, CA 95817
(916) 734-6086
Mailing address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
166649
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2018
Last updated
08/22/2022
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