NPI 1295233468

Matthew Marshall, NMTC

Practitioner Technician/Technologist Saint Louis, MO

Practice location

Address: 2340 Hampton Ave, Saint Louis, MO 63139-2935
Phone: (314) 647-2200
Fax: (314) 647-4172
Mailing address: 9063 Burton Ave, Overland, MO 63114-4825

Registered specialties (3)

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X

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Licensed Psychiatric Technician

Nursing Service Providers Taxonomy 167G00000X

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Health Information Specialist/Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Y00000X

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Registry record

NPI: 1295233468
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2018
Record last updated: 17 Sep 2021

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.