Individual
DR. HIPOLITO D. MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 DALE BUMPERS DR, FORREST CITY, AR 72335-2696
(870) 494-4200
Mailing address
30 SOUTHRIDGE CIR, WYNNE, AR 72396-8063
(870) 494-4200
(870) 494-4482
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15242
PR
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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