NPI 1093788762

Eric V. A. Matlock, DO

Practitioner Family Medicine Physician Washington, MO

Practice location

Address: 901 E 5th St Medical Staff Office, Washington, MO 63090-3127
Phone: (636) 239-8231
Fax: (636) 239-9890
Mailing address: PO Box 502852, Saint Louis, MO 63150-2852

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2005011343 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1093788762
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2006
Record last updated: 12 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.