Anderson, Matthew R

Anderson, Matthew R is an individual health care provider with primary practice located at 21681 N 77Th Ave Suite 1405, Peoria AZ 85382-2132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Matthew R can be contacted via phone (623) 312-2265.

Contact Information

Primary practice address
21681 N 77Th Ave Suite 1405 Peoria AZ 85382-2132
Phone: (623) 312-2265
Fax: (623) 312-2266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36198 Arizona

Profile Details

NPI number 1336119973
LBN Legal business name Anderson, Matthew R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 6th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336119973 NPPES
Arizona MEDICAID 345804
Arizona Other P00623658

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