Individual
MARILYN L MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
546 HARKLE ROAD, SUITE B, SANTA FE, NM 87505-4784
(505) 471-9202
Mailing address
3115 SIRINGO ROAD, SANTA FE, NM 87507-5085
(505) 471-9202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8687
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362443300
DOL
—
01
—
P00093427
RAILROAD RETIREMENT
—
Enumeration date
03/20/2007
Last updated
03/02/2009
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