Individual
DR. MATTHEW DAVID MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
816 BOARDMAN DR, GALLUP, NM 87301-4711
(505) 339-2015
(505) 492-0904
Mailing address
816 BOARDMAN DR, GALLUP, NM 87301-4711
(505) 339-2015
(505) 492-0904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2417
NC
152W00000X
Optometrist
Primary
690
NM
152W00000X
Optometrist
S-C24-TA-843
AL
Other
Enumeration date
07/01/2009
Last updated
04/06/2020
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