Provider Demographics
NPI:1851736763
Name:LAFFER, MATTHEW SNYDER (DO)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:SNYDER
Last Name:LAFFER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8817 E BELL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1589
Mailing Address - Country:US
Mailing Address - Phone:602-264-9044
Mailing Address - Fax:602-264-0057
Practice Address - Street 1:8817 E BELL RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1589
Practice Address - Country:US
Practice Address - Phone:602-264-9044
Practice Address - Fax:602-264-0057
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO59009207N00000X
AZ008851207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty