Individual
ERIC V. A. MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 E 5TH ST, MEDICAL STAFF OFFICE, WASHINGTON, MO 63090-3127
(636) 239-8231
(636) 239-9890
Mailing address
PO BOX 502852, SAINT LOUIS, MO 63150-2852
(314) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005011343
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093788762
—
MO
01
—
P00769834
RAILROAD MEDICARE
MO
Enumeration date
02/10/2006
Last updated
09/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us