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Individual

DR. MATTHEW B RICHINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2630 CUNNINGHAM AVE STE 201, JOPLIN, MO 64804-1542
(417) 782-7500
(417) 782-7524
Mailing address
PO BOX 3592, JOPLIN, MO 64803-3592
(417) 782-7500
(417) 782-7524

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
206009605
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200422090B
KS
01
212522
BCBS
MO
05
301595708
MO
01
626280200
MEDICAID DME
MO
Enumeration date
05/01/2006
Last updated
06/25/2021
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