Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 3562891205 | UT |
NPI | 1023076460 |
---|---|
Provider Name | Susan J Maturlo |
First Address | Carson City, NV 89706-0251 |
Second Address | Carson City, NV 89706-0251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 28/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107008206101 | IHC HEALTHPLANS (01) | UT |
344542 | DMBA (01) | UT |
49453 | PEHP (01) | UT |
870281028000 | (05) | UT |
870281028MA1 | EMIA (01) | UT |
990014449 | PALMETTO GBA (01) | UT |
B84360 | (02) | UT |
QM0000000062 | ALTIUS (01) | UT |