Individual
DR. MATTHEW TIMOTHY MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
(253) 983-9390
Mailing address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
DO.1957
AL
208VP0014X
Interventional Pain Medicine Physician
Primary
OP61109043
WA
208VP0014X
Interventional Pain Medicine Physician
OS15925
FL
Other
Enumeration date
06/19/2013
Last updated
07/13/2023
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