Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Professional |
101YP2500X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1265033526 |
| LBN Legal business name | MATTHEWS-VU MEDICAL GROUP, P.C. |
| Authorized official | KATE BOGUE - (CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 11/03/2020 |
| Last updated | 09/16/2024 - More than a year ago |
| Identifiers | n/a |
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