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MR. MATTHEW BRENT CALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1 CHILDRENS PL, SUITE 4E, SAINT LOUIS, MO 63110-1002
(314) 454-2810
(314) 454-2818
Mailing address
7425 FORSYTH, C B 8221, SAINT LOUIS, MO 63105-2161
(314) 454-2810
(314) 454-2818

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004002147
MO

Other

Enumeration date
08/01/2006
Last updated
07/15/2008
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