Individual
DR. MATTHEW JAMES BLANTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 S BISHOP AVE, ROLLA, MO 65401-4313
(573) 341-9490
(573) 341-9495
Mailing address
3709 SARDIS CT, COLUMBIA, MO 65203-5373
(573) 446-4286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03158
MO
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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