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1215933379
GREGORY WARREN MATTINGLY
SAINT CHARLES, MO
NPI
1215933379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MO 102964)
Enumeration Date
2005-06-23
Last Update Date
2017-01-26
Business Address
GREGORY WARREN MATTINGLY M.D.
330 1ST CAPITOL DR STE 390
SAINT CHARLES, MO 63301-2852
Phone number: 636-949-5760
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Mailing Address
GREGORY WARREN MATTINGLY M.D.
4801 WELDON SPRING PKWY STE 300
WELDON SPRING, MO 63304-9101
Phone number: 636-949-5760
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