Doctor Name: | DANIEL ALAN MATTHEWS |
NPI Number: | 1417924465 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 103285 |
Business Practice Address: | 1035c 7 Lks N West End, NC - 273769753 |
Business Phone Number: | 9106730045 |
Business Fax Number: | 9106731156 |
Mailing Address: | Po Box 843145, BOSTON |
State: | MA |
Postal Code: | 022843145 |
Phone Number: | 9106730045 |
Fax Number: | 9106731156 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 103285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |