Individual
MARC R. MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
27263
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804296
—
AZ
Enumeration date
06/07/2006
Last updated
03/04/2015
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