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Individual

DAVID MATLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 TEKE BURTON DR, MITCHELL, IN 47446-1208
(812) 849-3408
(812) 849-5630
Mailing address
105 TEKE BURTON DR, MITCHELL, IN 47446-1208
(812) 849-3408
(812) 849-5630

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057687A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200421390
IN
Enumeration date
09/16/2005
Last updated
12/18/2020
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