Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 46961 | AZ |
N | 207X00000X | Orthopaedic Surgeon | 46961 | AZ |
NPI | 1033353354 |
---|---|
Provider Name | Dr. Matthew Brian Anastasi |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 08/09/2020 |