Individual
DR. MATTHEW ALLEN STAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
203735
LA
2085R0202X
Diagnostic Radiology Physician
M6407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116398
—
LA
01
—
4P152
MEDICARE PROVIDER NUMBER
LA
Enumeration date
10/18/2007
Last updated
01/11/2015
Update your record
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