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1396723623
GREGORY A MATLOCK
DES MOINES, IA
NPI
1396723623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 02860)
Enumeration Date
2006-01-06
Last Update Date
2012-12-12
Business Address
-- GREGORY A MATLOCK DO
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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Mailing Address
-- GREGORY A MATLOCK DO
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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