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NPI Profile for MARK MATIBAG in AURORA, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X |
| NPI # | 1730421892 |
|
| Status | Active | |
| Credentials | REEGT,REPT,CNIM | |
| Entity | Individual | |
| Enumeration date | 03/26/2013 | |
| Last updated | 03/26/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MARK MATIBAG
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MARK MATIBAG, REEGT,REPT,CNIM