Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIM MATATOV, M.D.
Active Sole ProprietorTIM MATATOV, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in PHOENIX, Arizona. NPI 1104093301 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · PHOENIX, AZ
Registration Details
- NPI Number
- 1104093301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2008 (18.271077997431 yrs)
- Last Updated
- Nov 20, 2024
- License
-
52217 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2801 E CAMELBACK RD STE 100PHOENIX, AZ, 850164363Browse AZ providers · Browse ZIP 85016
- Phone
- 4805764310
- Fax
- 4805764311
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MARC E GOTTLIEB | M.D. | 1275521635 |
| BARRY FERNANDO | MD | 1104817378 |
| SOOD SUCHART | MD | 1982675724 |
| TODD K FARNWORTH | MD | 1811961113 |
| DR. JOHN M ROWLEY | MD | 1285601112 |
| TRAVIS C HOLCOMBE | MD | 1730138561 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.