Individual
MATTHEW TOD HOULIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20626 N 260TH AVE, BUCKEYE, AZ 85396-7252
(623) 698-3640
Mailing address
20626 N 260TH AVE, BUCKEYE, AZ 85396-7252
(623) 698-3640
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
34455
AZ
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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