Individual
MR. JOHN W. MATCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
4005 N 14TH ST, PHOENIX, AZ 85014-4918
(602) 279-3938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2062
AZ
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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