Individual
MATTHEW MATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
625 ALBANY AVE, TORRINGTON, WY 82240-1530
(307) 532-2107
Mailing address
625 ALBANY AVE, TORRINGTON, WY 82240-1530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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