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Individual

MR. MATTHEW SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1700 WHEELER PEAK DR., LAS VEGAS, NV 89106
(702) 383-2565
(702) 646-0298
Mailing address
1700 WHEELER PEAK DR., LAS VEGAS, NV 89106
(702) 383-2565
(702) 646-0298

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1415
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1415
PA LICENSE
NV
Enumeration date
02/20/2013
Last updated
12/07/2021
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