Individual
MR. MATTHEW JAMES SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5270
Mailing address
5702 PINEHURST DR, GRAND FORKS, ND 58201-2808
(701) 772-3745
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R27666
ND
Other
Enumeration date
05/03/2006
Last updated
05/20/2009
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