ERIC V. A. MATLOCK

WASHINGTON, MO
NPI1093788762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2005011343)
Enumeration Date2006-02-10
Last Update Date2014-09-12
Business Address
ERIC V. A. MATLOCK D.O.
901 E 5TH ST MEDICAL STAFF OFFICE
WASHINGTON, MO 63090-3127
Phone number: 636-239-8231
Mailing Address
ERIC V. A. MATLOCK D.O.
PO BOX 502852
SAINT LOUIS, MO 63150-2852
Phone number: 314-364-4200
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