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Individual

MR. MATTHEW JAMES SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, CTA

Contact information

Practice address
3307 BARADA ST, FALLS CITY, NE 68355-2470
(402) 245-2428
Mailing address
3307 BARADA ST, FALLS CITY, NE 68355-2470
(402) 245-2428

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
363A00000X
Physician Assistant
Primary
1668
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470398819
NE
Enumeration date
08/16/2012
Last updated
03/17/2017
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