| Matthew Robert Land, PA | |
|
4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | |
| (520) 228-2522 | |
| Not Available |
| Full Name | Matthew Robert Land |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 4175 S Alamo Ave, Davis Monthan Afb, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407395213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10287 (Arizona) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Robert Land, PA 331 Sijan Ave, Whiteman Afb, MO 65305 Ph: (660) 687-6066 | Matthew Robert Land, PA 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 Ph: (520) 228-2522 |
Sarah J Ostrom, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707 Phone: 520-228-2614 |
Shane Michael Mikolajewski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707 Phone: 520-228-2703 |