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

MATTHEW L JUSTUS, PA-C

Active

MATTHEW L JUSTUS, PA-C is a Physician Assistant healthcare provider located in GLADE SPRING, Virginia. NPI 1821033895 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GLADE SPRING, VA

Registration Details

NPI Number
1821033895
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2006 (20.206353416111 yrs)
Last Updated
May 20, 2021
Licenses
0110001912 (VA)
01170 (WV)
0110001912 (VA)

Practice Information

Address
202 TOWN SQUARE ST.
GLADE SPRING, VA, 24340
Browse VA providers · Browse ZIP 24340
Phone
2764291410
Fax
2767832879
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
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.