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Individual

DR. MATTHEW THOMAS STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1640 CHARLES PL STE 103, MANHATTAN, KS 66502-2868
(785) 776-9461
(785) 776-9946
Mailing address
1640 CHARLES PL, STE 103, MANHATTAN, KS 66502-2868
(785) 776-9461
(785) 776-9946

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1757
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200406160B
KS
Enumeration date
07/24/2006
Last updated
11/11/2022
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