Individual
GODWIN SALIFU MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3328 HORNED LARK CT, LAS VEGAS, NV 89117-7712
(205) 249-8491
Mailing address
3328 HORNED LARK CT, LAS VEGAS, NV 89117-7712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20899
ME
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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