M & T DERMATOLOGY SERVICES LLC

JOPLIN, MO
NPI1083602015
Entity TypeOrganization
Authorized ContactMARK STEPHEN MATLOCK
Owner
417-624-0440
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2005-10-13
Last Update Date2008-11-19
Business Address
M & T DERMATOLOGY SERVICES LLC
2829 S JACKSON AVE
JOPLIN, MO 64804-2525
Phone number: 417-624-0440
Mailing Address
M & T DERMATOLOGY SERVICES LLC
2829 S JACKSON AVE
JOPLIN, MO 64804-2525
Phone number: 417-624-0440