Individual provider · Type 1 NPI
Matthew Daniel Daggett, PA
Medical Physician Assistant · Montgomery, AL
NPI number
1255393120
Active
Practice location
300 S.twining St., Bldg 760
Montgomery, AL 36112
Fax (334) 953-5273
Mailing address
300 Twining St, Bldg 760
Montgomery, AL 36112-6027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-408 (AL) |
Medical Physician Assistant: Definition to come...
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About NPI 1255393120
Matthew Daniel Daggett, PA's National Provider Identifier is 1255393120, issued on Apr 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Montgomery, AL. The record was last updated on Jan 17, 2025.