Individual
MATTHEW JAMES PIAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(122) 837-6227
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
(122) 837-6227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020012706
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2018
Last updated
06/08/2022
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