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  5. Matthew Bezzant PA-C
Male or Other

Matthew Bezzant PA-C

Physician Assistant in Las Cruces, NM(View on Map)

Full Name

Matthew Bezzant PA-C

NPI Number

1578873774

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/21/2010

Specialties

(Taxonomies)

Name

Physician Assistant

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Wyoming

License Number

522

Contact
Information

Purpose

Mailing
Location

Address

2970 N MAIN ST
2970 N MAIN ST

City

Las Cruces
Las Cruces

State

NM
NM

Postal Code

88001-1152
88001-1152

Country

US
US

Telephone Number

(575) 525-3531
(575) 525-3531

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

matthew.bezzant.2@1928.direct.athenahealth.com

Endpoint Description

AMR Direct Address

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

2970 N Main StLas Cruces, NM880011152US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/08/2020

Provider Address

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