Organization
HARRY B MATOSSIAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTIL FERGUSON (FINANCIAL/BILLING MANAGER)
(707) 462-0681
Entity
Organization
Contact information
Practice address
234 HOSPITAL DR, UKIAH, CA 95482-4560
(707) 462-0681
Mailing address
234 HOSPITAL DR, UKIAH, CA 95482-4560
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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