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Matthew Roughley
Surgical Physician Assistant in Orange, California
NPI 1801497771

Matthew Roughley is a Surgical Physician Assistant based in Orange, CA and is specialized in Surgical. Matthew Roughley practices in Orange, CA. The NPI Number for Matthew Roughley is 1801497771 and holds a License No. (California).

The current practice location address for Matthew Roughley is 280 S Main St Ste 200, Orange, CA and can be reached out via phone at 714-937-2155 and via fax at 714-634-4321.

Location: 280 S Main St Ste 200, Orange, CA, 92868-3852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801497771
Provider Name
Matthew Roughley
Credential
Provider Entity Type
Individual
Gender
Male
Address
280 S Main St Ste 200, Orange, CA, 92868-3852
Phone Number
714-937-2155
Fax Number
714-634-4321
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
280 S Main St Ste 200
City
Orange
State
California
Zip
92868-3852
Phone Number
714-937-2155
Fax Number
714-634-4321
person
Provider Business Mailing Address Details
Address
280 S Main St Ste 200
City
Orange
State
California
Zip
92868-3852
Phone Number
714-937-2155
Fax Number
714-634-4321
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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