Individual
MATTHEW DAVID NAGELBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11036 N 23RD AVE STE 7, PHOENIX, AZ 85029-4800
(623) 205-3445
Mailing address
28342 N 64TH LN, PHOENIX, AZ 85083
(623) 205-3445
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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