NPI 1023198884

Michael Joseph Matchett

Practitioner Driver Yreka, CA

Practice location

Address: 563 N Main St, Yreka, CA 96097-2524
Phone: (541) 821-7862
Fax: (530) 841-1930

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence C3358130 (CA)

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Registry record

NPI: 1023198884
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.