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Individual

JOSEPH MOORE MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 GOVERNORS LANE, SUITE A, CHICO, CA 95926
(530) 891-4523
(530) 891-5934
Mailing address
2 GOVERNORS LANE, SUITE A, CHICO, CA 95926
(530) 891-4523
(530) 891-5934

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G32836
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
G32836
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006328360
CA
01
020008276
MEDICARE RAILROAD #
CA
Enumeration date
10/16/2006
Last updated
03/31/2015
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