CHANCE LEE MATTHIESEN

JOPLIN, MO
NPI1821289893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MO  2016036874)
Additional Taxonomies2085R0001X 
(Licence: OK  25819)
Enumeration Date2007-08-06
Last Update Date2016-11-16
Business Address
Dr. CHANCE LEE MATTHIESEN M.D.
932 E 34TH ST
JOPLIN, MO 64804-3932
Phone number: 417-347-2200
Mailing Address
Dr. CHANCE LEE MATTHIESEN M.D.
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-2200
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