Individual
DR. THOMAS J. MATISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 E NORTHERN AVE, SUITE 103, PHOENIX, AZ 85020-3960
(602) 200-9021
(602) 200-9087
Mailing address
3930 E MOUNTAIN VIEW RD, PHOENIX, AZ 85028-4045
(602) 992-2862
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18682
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288250
—
AZ
Enumeration date
03/02/2006
Last updated
10/11/2011
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