DR. Matthew Gordon Boliaux, DO is a student in an organized health care education training program in Phoenix, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Matthew Gordon Boliaux, DO NPI is 1811638851. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1300 N 12TH ST STE 508
PHOENIX, AZ
ZIP 85006-849
Phone: (602) 839-3927
Fax: (602) 839-4233
The NPI 1811638851 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.