| Doctor Name: | MR. MATTHEW ALEXANDER NAMIHAS |
| NPI Number: | 1043243801 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 3262 |
| Business Practice Address: | 802 Ainsworth Dr Suite A Prescott, AZ - 863011623 |
| Business Phone Number: | 9287760601 |
| Business Fax Number: | 9287760620 |
| Mailing Address: | Po Box 61773, PHOENIX |
| State: | AZ |
| Postal Code: | 850821773 |
| Phone Number: | 9284456025 |
| Fax Number: | 9287783026 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 3262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |