MCKENZIE MATLOCK, PA

Physician Assistant

Active Individual
NPI: 1912407032

Practice Address

440 E TAMPA ST
Springfield, MO 65806

Phone: (417) 831-0150

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 2018003866 (MO)

Frequently Asked Questions

NPI 1912407032 is the National Provider Identifier for MCKENZIE MATLOCK, PA, a Physician Assistant provider located in Springfield, MO. This NPI was enumerated on February 15, 2018.
MCKENZIE MATLOCK, PA practices at 440 E TAMPA ST, Springfield, MO 65806.

Quick Facts

NPI
1912407032
Type
Individual
Enumerated
Feb 15, 2018
Last Updated
Nov 25, 2024

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