OLGA MATATOVA PA-C NPI 1992123046

NPI Information

Olga Matatova, PA-C is a medical physician assistant in Phoenix, AZ. Olga Matatova, PA-C NPI is 1992123046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10046 N METRO PKWY W
115
PHOENIX, AZ
ZIP 85051-437
Phone: (602) 674-5515
Fax: (602) 674-3029

The NPI 1992123046 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 4/4/2014 and was last updated on 3/31/2016.

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:

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