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1740287481
RICHARD E MATIS
LAFAYETTE, LA
NPI
1740287481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 013821)
Enumeration Date
2005-07-07
Last Update Date
2012-08-06
Business Address
Dr. RICHARD E MATIS M.D.
4809 AMBASSADOR CAFFERY PKWY SUITE 200
LAFAYETTE, LA 70508-6917
Phone number: 337-988-8811
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Mailing Address
Dr. RICHARD E MATIS M.D.
4809 AMBASSADOR CAFFERY PKWY SUITE 200
LAFAYETTE, LA 70508-6917
Phone number: 337-988-8811
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