Amanda Matje Pa-C Pllc

NPI #1962148791 in Phoenix, Arizona

Provider Information

NPI Number: 1962148791
Entity Type: Organization
Organization Name: Amanda Matje Pa-C Pllc
Primary Specialty: Physician Assistant
Enumeration Date: May 5, 2022
Last Updated: May 5, 2022

Practice Location

Address: 7600 N 15TH ST
City: Phoenix
State: Arizona
ZIP Code: 85020-4327
Phone: (602) 395-0718

Authorized Official

Name: VANESSA KOZIOL
Title: CREDENTIALING
Phone: (480) 376-6456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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