Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 16-1532 | AZ |
NPI | 1063867141 |
---|---|
Provider Name | Dr. Ronald F Matthias JR. |
First Address | Scottsdale, AZ 85255-5806 |
Second Address | Scottsdale, AZ 85260-2571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2016 |
Last Update Date | 14/10/2016 |