Individual
PHILLIP L MATTHEWS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4577
Mailing address
5601 W EUGIE AVE, SUITE 213, GLENDALE, AZ 85304-1255
(602) 865-5618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1449
AZ
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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