Individual
DAVID PAUL MATICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 MADISON AVE STE 447, MEMPHIS, TN 38103-3438
(901) 287-6765
Mailing address
847 MONROE AVE RM 427, MEMPHIS, TN 38103-4907
(901) 287-6765
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
06/28/2023
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