Search › Arizona › 363A00000X
Matthew Rainbolt, PA-C
NPI 1124414693 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3619 Desert Rose Ln
Lake Havasu City, AZ 86404 - Phone
- (337) 349-6708
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- AZ, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona