Miguel Blas-Matus, PA-C
NPI #1932409075 in Othello, Washington
Provider Information
- NPI Number
- 1932409075
- Entity Type
- Individual
- Name
- Miguel Blas-Matus, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 22, 2010
- Last Updated
- Mar 23, 2021
Practice Location
- Address
- 1515 E COLUMBIA ST
- City
- Othello
- State
- Washington
- ZIP Code
- 99344-9934
- Phone
- (509) 488-5256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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