MATTHEW LOUDON PA-C NPI 1922498781

NPI Information

Matthew Loudon, PA-C is a medical physician assistant in Wasilla, AK with 10 years of experience. Matthew Loudon, PA-C NPI is 1922498781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

3331 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654-294
Phone: (907) 357-2332
Fax: (907) 357-2344

The NPI 1922498781 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 2/2/2015 and was last updated on 2/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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