Organization
STEPHEN L MATNEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L MATNEY MD (OWNER)
(317) 733-9904
Entity
Organization
Contact information
Practice address
629 S MILLER ST, SHELBYVILLE, IN 46176-1931
(317) 733-9904
(317) 733-9956
Mailing address
629 S MILLER ST, SHELBYVILLE, IN 46176-1931
(317) 733-9904
(317) 733-9956
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01036908
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200872620A
—
IN
Enumeration date
08/19/2007
Last updated
05/08/2017
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