Individual
DR. MATHEW RICHARD KOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8191
Mailing address
304 N BERNHARDT AVE, GERALD, MO 63037-1625
(314) 640-0225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019030620
MO
Other
Enumeration date
08/27/2019
Last updated
12/20/2024
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