Matthew G. Datlow, MSPAS, PA-C

Physician Assistant · Oracle, AZ

Individual Active NPI

NPI number 1477024503

Practice location

1040 W American Ave
Oracle, AZ 85623-6089
Phone
(520) 896-2092

Open in Google Maps

NPI record

NPI
1477024503
Entity type
Individual (Type 1)
Enumeration date
December 16, 2018
Last updated
June 28, 2023
Certified
August 23, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone
(520) 836-3446

Other practice locations (3)

  • 1358 W Orange Grove Rd, Tucson, AZ 85704-2901 · (520) 575-1272
  • 12560 N Blondin Dr, Marana, AZ 85653-8075 · (805) 732-4261
  • 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 · (520) 276-2270

About Matthew Datlow

Matthew G. Datlow, MSPAS, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1040 W American Ave, Oracle, AZ 85623-6089. The NPI number 1477024503 was assigned on December 16, 2018 and the record was last updated on June 28, 2023.

Frequently asked questions

What is the NPI number of Matthew G. Datlow, MSPAS, PA-C?

The NPI number is 1477024503.

What is the phone number of Matthew Datlow?

The phone number listed for the practice location is (520) 896-2092.

Where is Matthew Datlow located?

1040 W American Ave, Oracle, AZ 85623-6089.

What is the taxonomy code for Matthew Datlow?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Oracle

All Physician Assistant providers in Oracle, AZ →