Gabriel Matonba Peal in Little Rock - Colon & Rectal Surgery

Gabriel Matonba Peal - NPI 1750352373

Gabriel Matonba Peal is a Colon & Rectal Surgery in Little Rock, Arkansas. Gabriel Matonba Peal practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Gabriel Matonba Peal is 1750352373. The last update date is 2023-03-07.

Gabriel Matonba Peal's current location address is 500 S University Ave Ste 720, Little Rock, Arkansas. You can contact this provider via phone number 5015584900 and fax number 5015584909. The mailing address for Gabriel Matonba Peal is 500 S University Ave Ste 720, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Gabriel Matonba Peal
Address 500 S University Ave Ste 720, Little Rock, Arkansas
Phone Number 5015584900
Fax Number 5015584909
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1750352373
Provider Enumeration Date 2006-01-31
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 500 S University Ave Ste 720
City Little Rock
State Arkansas (AR)
Post Code 722055345
Phone Number 5015584900
Fax Number 5015584909

Provider's Primary Taxonomy Detail

Speciality Colon & Rectal Surgery
Taxonomy 208C00000X
Licence No E1660
Definition:
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
485357 AR MEDICARE INDIVIDUAL PTAN
485340 AR MEDICARE
133831001 AR --
1609260157 AR GROUP NPI

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FAQs about Gabriel Matonba Peal

What is the unique 10-digit identification code issued to Gabriel Matonba Peal by the Centers for Medicare & Medicaid Services?

The Gabriel Matonba Peal has been assigned the NPI (National Provider Identifier) 1750352373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Gabriel Matonba Peal is located?

The Gabriel Matonba Peal is situated at the following address: 500 S University Ave Ste 720, Little Rock, AR, 722055345.

What is the Gabriel Matonba Peal's area of specialization and corresponding taxonomy classification?

The Gabriel Matonba Peal's specialty field is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their specialties.

On what date did the Gabriel Matonba Peal receive the assignment of its 1750352373 from the Centers for Medicare & Medicaid Services?

The Gabriel Matonba Peal was issued its 1750352373 by the Centers for Medicare & Medicaid Services on 2006-01-31.

When was the Gabriel Matonba Peal's information last updated?

The Gabriel Matonba Peal's information was last updated on 2023-03-07.

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