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Individual

DR. STEPHEN MARK MATTHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
720A STROZIER LN, BARLING, AR 72923-1735
(479) 783-0369
(479) 783-0419
Mailing address
PO BOX 23601, BARLING, AR 72923-0601
(479) 783-0369
(479) 783-0419

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1276
AR
171100000X
Acupuncturist
1276
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5C831
MEDICARE PTAN
AR
Enumeration date
01/16/2006
Last updated
03/07/2024
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