Individual provider · Type 1 NPI
Matthew Robert Land, PA
Surgical Physician Assistant · Davis Monthan Afb, AZ
NPI number
1407395213
Active
Practice location
4175 S Alamo Ave
Davis Monthan Afb, AZ 85707-4402
Mailing address
331 Sijan Ave
Whiteman Afb, MO 65305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 10287 (AZ) |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1407395213
Matthew Robert Land, PA's National Provider Identifier is 1407395213, issued on Feb 14, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Davis Monthan Afb, AZ. The record was last updated on Sep 30, 2024.