NPI | 1942569033 |
---|---|
Doing Business As | MATRIX MEDICAL NETWORK |
Entity Type | Organization |
Authorized Contact | JUSTIN PHAM Pc Owner 877-564-3627 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2012-05-09 |
Last Update Date | 2022-02-21 |