Individual
VALERIE MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1669 W INA RD, TUCSON, AZ 85704-1982
(520) 448-0660
(520) 784-7226
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51064
AZ LICENSE
AZ
01
—
LL2472
RESIDENT LICENSE
NV
01
—
R73210
RESIDENT PERMIT
AZ
Enumeration date
06/23/2010
Last updated
10/27/2022
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