NPI 1023512761

Ethan Lester Matz, MD

Practitioner Urology Physician Winston Salem, NC

Practice location

Address: Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: (336) 716-0423

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence U1083 (TX)

Other Urology providers in North Carolina →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in North Carolina →

Registry record

NPI: 1023512761
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2018
Record last updated: 16 Oct 2023

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.