SearchVirginiaMedical Physician Assistant

Matthew Wynne

NPI 1356985949 · on the registry since 2019

Practice

Address
2151 Old Brick Rd
Glen Allen, VA 23060
Phone
(919) 610-1014
Clinicians at this address
24

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-13

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 Virginia