Matthew D. Probst is a Medical in Santa Rosa, New Mexico. Matthew D. Probst practices all healthcare services and medical treatments related to Medical. The NPI Number for Matthew D. Probst is 1053305474. The last update date is 2023-02-23.
Matthew D. Probst's current location address is 117 Camino De Vida Ste 300, Santa Rosa, New Mexico. You can contact this provider via phone number 5754724311 and fax number 8776510289. The mailing address for Matthew D. Probst is 117 Camino De Vida Ste 300, Santa Rosa, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew D. Probst |
|---|---|
| Address | 117 Camino De Vida Ste 300, Santa Rosa, New Mexico |
| Phone Number | 5754724311 |
| Fax Number | 8776510289 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053305474 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2023-02-23 |
Provider Mailing Address Detail
| Address | 117 Camino De Vida Ste 300 |
|---|---|
| City | Santa Rosa |
| State | New Mexico (NM) |
| Post Code | 884352267 |
| Phone Number | 5754724311 |
| Fax Number | 8776510289 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2003-0043 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60950277 | NM | -- | |
| NM400319 | NM | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Matthew D. Probst by the Centers for Medicare & Medicaid Services?
The Matthew D. Probst has been issued the NPI (National Provider Identifier) 1053305474. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Matthew D. Probst is geographically located?
The Matthew D. Probst is physically situated at the following location: 117 Camino De Vida Ste 300, Santa Rosa, NM, 884352267.
What is Matthew D. Probst's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew D. Probst is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Matthew D. Probst receive its 1053305474 assignment from the Centers for Medicare & Medicaid Services?
The Matthew D. Probst was assigned its 1053305474 by the Centers for Medicare & Medicaid Services on 2005-08-31.
When was the information related to Matthew D. Probst most recently updated or refreshed?
The details pertaining to the Matthew D. Probst, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-23.