Provider Demographics
NPI:1790332708
Name:MCGRATH, MATTHEW ROBERT (PA-C)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:ROBERT
Last Name:MCGRATH
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1400 E CHURCH STREET
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454
Mailing Address - Country:US
Mailing Address - Phone:805-739-3114
Mailing Address - Fax:805-739-3502
Practice Address - Street 1:1102 E CLARK AVE STE 120A
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-5175
Practice Address - Country:US
Practice Address - Phone:053-328-1858
Practice Address - Fax:805-332-8186
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2020-10-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant