NPI 1154633618

Matthew Taylor Hefty, MD

Practitioner Surgery Physician Dixon, IL

Practice location

Address: 215 E 1st St STE 316, Dixon, IL 61021-3190
Phone: (815) 285-5842
Fax: (815) 285-5845

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036147642 (IL)

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Registry record

NPI: 1154633618
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2010
Record last updated: 8 Oct 2019

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.