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1306967377
MATTHEW SELF
DARDANELLE, AR
NPI
1306967377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E-5282)
Enumeration Date
2007-04-03
Last Update Date
2008-01-11
Business Address
-- MATTHEW SELF MD
200 N 3RD ST
DARDANELLE, AR 72834-3802
Phone number: 479-229-2827
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Mailing Address
-- MATTHEW SELF MD
24 LARKSPUR CT
RUSSELLVILLE, AR 72802-6913
Phone number: 479-967-3009
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