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Mr. Matthew A Figueroa
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NPI Number Detailed Information
Provider Information:
Name: | Mr. Matthew A Figueroa |
Gender: | M |
Provider License Number If Given: | 2919 |
NPI Information:
NPI: | 1528061546 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 10/16/2007 |
Provider Business Mailing Address:
Address: | PO BOX 32490 Phoenix, AZ 85064 |
Phone Number: | 6022304478 |
Fax Number: | 6022309962 |
Provider Business Practice Location Address:
Address: | 3050 N LITCHFIELD RD STE 100 Goodyear, AZ 85395 |
Phone Number: | 6239535505 |
Fax Number: | 6239355551 |
Provider Taxonomy:
Primary: | 225100000X |
Secondary (if any): | |
State: | AZ |