Individual
MATTHEW S KLOCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
736 ROUTE 4 STE 202, SINAJANA, GU 96910-3368
(671) 989-4747
(671) 989-4743
Mailing address
736 ROUTE 4 STE 202, SINAJANA, GU 96910-3368
(671) 989-4747
(671) 989-4743
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M-2201
GU
390200000X
Student in an Organized Health Care Education/Training Program
RS2016-0346
NM
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/28/2013
Last updated
08/11/2020
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