Individual provider · Type 1 NPI
Matthew Gaines, PA-C
Medical Physician Assistant · Fort Sill, OK
NPI number
1508476086
Active
Practice location
4301 Wilson St
Fort Sill, OK 73503-4472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4811 (OK) |
Medical Physician Assistant: Definition to come...
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About NPI 1508476086
Matthew Gaines, PA-C's National Provider Identifier is 1508476086, issued on Aug 9, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Sill, OK. The record was last updated on Dec 27, 2023.