Matthew Thomas Hennigan
Matthew Thomas Hennigan is a Physician Assistant in San Diego, California. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2014
Practice location Address checks out
7590 Miramar Rd Ste CSan Diego, CA 92126-4232
Phone: (858) 549-4255
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA09532 (TX) |
|---|
Record details
| NPI number | 1770981888 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 5, 2014 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
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