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NPI Profile for MATTHEW S EVANS in MODESTO, CA.
An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist | |
Pedorthist |
224L00000X | |||
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1245476597 |
|
| Status | Active | |
| Credentials | CPO | |
| Entity | Individual | |
| Enumeration date | 12/16/2008 | |
| Last updated | 05/22/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MATTHEW S EVANS
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MATTHEW S EVANS, CPO