Individual
DR. MATTHEW PATOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 ELM SPRINGS RD # 105, SPRINGDALE, AR 72762-3748
(479) 927-2100
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-7969
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198678001
—
AR
Enumeration date
07/07/2010
Last updated
02/05/2020
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