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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 |
