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Individual

DR. DAVID LEE MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3434 12TH AVE NE, OLYMPIA, WA 98506-5175
(360) 413-8470
Mailing address
3434 12TH AVE NE, OLYMPIA, WA 98506
(360) 413-8470
(360) 413-8491

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60599715
WA
208000000X
Pediatrics Physician
C5975
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106580001
AR
Enumeration date
05/02/2006
Last updated
05/24/2017
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