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Individual

DR. MATTHEW A HRASTICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5263
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 632-5263

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005032731
MO

Other

Enumeration date
11/07/2005
Last updated
07/30/2010
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