MR. MATTHEW WAYNE MUSTAIN PA-C
NPI 1154468742
Physician Assistant - Medical in Scottsdale, AZ
Active since January 31, 2007
9097 E DESERT COVE, SUITE #100, SCOTTSDALE, AZ 85260(480) 609-4200(480) 609-4233 Get Directions Write a Review
About Mr. Matthew Wayne Mustain Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MATTHEW WAYNE MUSTAIN PA-C (NPI 1154468742) is an individual medical provider in Scottsdale, Arizona, licensed in Arizona (2721) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1154468742
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MATTHEW WAYNE MUSTAINCredential: PA-C
Location Address9097 E DESERT COVE, SUITE #100Scottsdale, AZ 85260
Mailing Address809 E Marconi AvePhoenix, AZ 85022-3111 · (602) 504-3751 · Fax (480) 609-4233
Phone(480) 609-4200
Fax(480) 609-4233
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154468742 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 2721
9097 E DESERT COVE, Scottsdale, AZ 85260
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physical Therapist
9097 E DESERT COVE, SUITE 110
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
Internal Medicine (Rheumatology)
9097 E DESERT COVE, SUITE 100
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
Physical Therapist
9097 E DESERT COVE, SUITE 110
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
Clinic/Center (Physical Therapy)
9097 E DESERT COVE, SUITE 110
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154468742, enumerated as an "individual" on January 31, 2007.
The provider is located at 9097 E DESERT COVE SUITE #100 SCOTTSDALE, AZ 85260 and the phone number is (480) 609-4200.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.