Organization
GARY A. MATTHYS MD PLC
Active
Other names
Matthys Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A MATTHYS MD (SOLE MEMBER)
(701) 241-9300
Entity
Organization
Contact information
Practice address
2301 25TH ST S STE I, FARGO, ND 58103-6104
(701) 241-9300
(701) 235-4525
Mailing address
2301 25TH ST S STE I, FARGO, ND 58103-6104
(701) 241-9300
(701) 235-4525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8590
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07030001
BCBS
ND
05
—
14488
—
ND
01
—
6I410MA
MN BCBS
MN
05
—
708457000
—
MN
05
—
7700312
—
SD
01
—
9809527
MEDICA
—
01
—
DH0802
RR MEDICARE
—
01
—
HP32046
HEALTH PARTNERS
—
Enumeration date
11/15/2007
Last updated
04/28/2010
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