Individual
MATTHEW MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
20733 N. BROAD ST., CARLINVILLE, IL 62626-1499
(217) 854-3141
Mailing address
1400 LYNN ST, HIGHLAND, IL 62249-2262
(618) 698-9114
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164003834
IL
Other
Enumeration date
10/05/2007
Last updated
10/04/2011
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