Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A111016 | CA |
NPI | 1003017971 |
---|---|
Provider Name | Matthew Lee Tweet |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-6004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 08/08/2014 |