Individual
MRS. DELIA A MATIAS I
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 E BROADWAY, SUITE 205, COLUMBIA, MO 65201-8018
(573) 875-2505
(573) 449-6952
Mailing address
1701 E BROADWAY, SUITE 205, COLUMBIA, MO 65201-8018
(573) 875-2505
(573) 449-6952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD36299
MO
Other
Enumeration date
09/16/2005
Last updated
07/09/2007
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