Individual
DR. THOMAS A MATTIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3225 N CIVIC CENTER PLZ, SUITE 1, SCOTTSDALE, AZ 85251-6919
(480) 246-3000
(480) 246-3100
Mailing address
3225 N CIVIC CENTER PLZ, SUITE 1, SCOTTSDALE, AZ 85251-6919
(480) 246-3000
(480) 246-3100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20241
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
20241
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060047024
MEDICARE RAILROAD
AZ
05
—
065640
—
AZ
01
—
4400898
AETNA
AZ
01
—
AZ0821440
BCBS AZ
AZ
Enumeration date
05/24/2005
Last updated
08/15/2014
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