Doctor Name: | MATTHEW MATTE |
NPI Number: | 1013350495 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | Msc 06 3500 I University Of New Mexico Albuquerque, NM - 871310001 |
Business Phone Number: | 5059254031 |
Business Fax Number: | 5059254030 |
Mailing Address: | Msc 06 3500, I University Of New Mexico ALBUQUERQUE |
State: | NM |
Postal Code: | 871310001 |
Phone Number: | 5059254031 |
Fax Number: | 5059254030 |
NPI Enumeration Date: | 04/16/2013 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |