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Individual

MATTHEW GARRETT HANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 719-3437
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101254323
VA
207X00000X
Orthopaedic Surgery Physician
A161885
CA
207X00000X
Orthopaedic Surgery Physician
MD61088562
WA
207X00000X
Orthopaedic Surgery Physician
ME136149
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101254323
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A161885
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/26/2011
Last updated
08/26/2022
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