Individual
DR. MATTHEW BARRY PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3317 CHANATE RD, STE 2C, SANTA ROSA, CA 95404
(707) 570-1130
(707) 526-1572
Mailing address
3317 CHANATE RD, STE 2C, SANTA ROSA, CA 95404
(707) 570-1130
(707) 526-1572
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G78085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG780850
—
CA
Enumeration date
04/08/2006
Last updated
07/08/2007
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