Provider Demographics
NPI:1356613855
Name:CUTHRELL, MATTHEW DAVID (PA)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:DAVID
Last Name:CUTHRELL
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Gender:M
Credentials:PA
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Mailing Address - Street 1:MADIGAN HEALTH CARE SYSTEMS
Mailing Address - Street 2:
Mailing Address - City:JOINT BASE LEWIS MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:253-209-3156
Mailing Address - Fax:
Practice Address - Street 1:5 FIRSTVILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374
Practice Address - Country:US
Practice Address - Phone:910-295-6831
Practice Address - Fax:910-295-0244
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2020-07-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant