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Individual

MATTHEW MCQUAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5150 HILL RD E, STE A, LAKEPORT, CA 95453-5100
(707) 263-3727
(707) 263-5236
Mailing address
5150 HILL RD E, STE A, LAKEPORT, CA 95453-5100
(707) 263-3727
(707) 263-5236

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E3998
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3998
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E39980
CA
01
480028899
RAIL ROAD
CA
Enumeration date
05/24/2005
Last updated
04/07/2011
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