Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew James Van Ligten

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023812211

Matthew James Van Ligten is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5779 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (507) 284-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023812211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2025
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address308 S Santa Maria St, Orange, CA 92869-5646

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