Individual
MATTHEW BRYAN SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003785
OH
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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