Individual
TY MATTHEW MCPHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 W RIVERSIDE DR, JEFFERSONVILLE, IN 47130-3153
(316) 680-5230
Mailing address
304 W RIVERSIDE DR, JEFFERSONVILLE, IN 47130-3153
(316) 680-5230
(316) 680-5230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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