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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW ROBERT LAND, PA

Active Sole Proprietor

MATTHEW ROBERT LAND, PA is a Surgical Physician Assistant healthcare provider located in DAVIS MONTHAN AFB, Arizona. NPI 1407395213 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · DAVIS MONTHAN AFB, AZ

Registration Details

NPI Number
1407395213
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2017 (9.481748406581 yrs)
Last Updated
Sep 30, 2024
License
10287 (AZ)
Sole Proprietor
Yes

Practice Information

Address
4175 S ALAMO AVE
DAVIS MONTHAN AFB, AZ, 857074402
Browse AZ providers · Browse ZIP 85707
Phone
5202282522
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
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.