Individual
MATTHEW LUTHER CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(408) 315-5622
Mailing address
534 KENMORE AVE, OAKLAND, CA 94610-1618
(408) 315-5622
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52332
CA
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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