MCKENZIE MATLOCK

SPRINGFIELD, MO
NPI1912407032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2018003866)
Enumeration Date2018-02-15
Last Update Date2020-01-17
Business Address
MCKENZIE MATLOCK PA
440 E TAMPA ST
SPRINGFIELD, MO 65806
Phone number: 417-831-0150
Mailing Address
MCKENZIE MATLOCK PA
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
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