Individual
MATTHEW WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC 10 5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4107
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
55073
KY
207X00000X
Orthopaedic Surgery Physician
Primary
MD2021-0620
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/02/2016
Last updated
10/29/2024
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