Individual
DR. MATTHEW EUGENE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 HEALTH WAY DR, POTOSI, MO 63664-1420
(573) 438-5451
(573) 438-5791
Mailing address
300 HEALTH WAY DR, POTOSI, MO 63664-1420
(573) 438-5451
(573) 438-2399
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO106076
MO
207Q00000X
Family Medicine Physician
DO106076
MO
208D00000X
General Practice Physician
DO106076
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107110
UNITED HEALTHCARE
—
01
—
080139721
RAILROAD MEDICARE
—
01
—
117150
BLUE CROSS
MO
01
—
1680V19251
HEALTHCARE USA
—
01
—
220102500
DEPT OF LABOR
—
05
—
248086027
—
MO
01
—
331383
HEALTHLINK
—
01
—
431845485
GREAT WEST LIFE
—
01
—
58275
GROUP HEALTH PLAN
—
01
—
798170
HEALTH PARTNERS
—
01
—
G18560
MERCY HEALTH PLAN
—
Enumeration date
01/08/2007
Last updated
11/21/2023
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