Individual
DR. MATTHEW DANIEL PRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1012 LOUISA ST, RAYVILLE, LA 71269-2957
(318) 728-2046
(318) 728-9371
Mailing address
1012 LOUISA ST, RAYVILLE, LA 71269-2957
(318) 728-2046
(318) 728-9371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205904
LA
Other
Enumeration date
04/07/2011
Last updated
08/18/2014
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