Individual
DR. MATTHEW JAMES DORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 E CR 250N, MATTOON, IL 61938
(864) 580-1676
(217) 728-8678
Mailing address
3555 E CR 250 N, MATTOON, IL 61938
(864) 580-1676
(985) 520-4352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036122714
IL
Other
Enumeration date
08/28/2006
Last updated
02/07/2019
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