Most Relevant Information
Provider Data
| NPI Number: | 1003179193 |
| Provider Name: | MATTHEW S SPIVA DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213E00000X |
| Specialty: | Podiatrist |
| License Number: | 8718615-0501 |
Most Important Dates
| Enumeration Date: | 06/22/2012 |
| Last Updated: | 10/10/2018 |
Provider Practice Location
US HWY 491 NORTH
SHIPROCK
NM
87420
Practice Location Phone/Fax
| Phone: | 5053686001 |
| Fax: |
Provider Mailing Location
PO BOX 160
SHIPROCK
NM
874200160
Provider Mailing Phone/Fax
| Phone: | 5053686001 |
| Fax: |
Suggested EMR
Podiatry EMR