Individual
LAUREL MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4471 BUCKEYE LN, BEAVERCREEK, OH 45440-3197
(216) 225-4339
(440) 550-8825
Mailing address
4471 BUCKEYE LN, BEAVERCREEK, OH 45440-3197
(216) 225-4339
(440) 550-8825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35063400
OH
2086S0102X
Surgical Critical Care Physician
35063400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0979544
—
OH
Enumeration date
11/17/2006
Last updated
06/13/2012
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