Organization
CAROLYN A MATZINGER MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN A MATZINGER MD (PHYSICIAN)
(702) 380-1974
Entity
Organization
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2000
Mailing address
10620 SOUTHERN HIGHLANDS PKWY, SUITE 110-419, LAS VEGAS, NV 89141-4371
(702) 380-1974
(702) 269-5547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C50852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10187
MEDICAL LICENSE
NV
01
—
C50852
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
05/27/2009
Last updated
05/27/2009
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