Organization
MATTAX NEU PRATER EYE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B MATTAX JR. M.D. (CORPORATE PRESIDENT)
(417) 886-3937
Entity
Organization
Contact information
Practice address
1265 E PRIMROSE ST, SPRINGFIELD, MO 65804-4278
(417) 886-3937
(417) 886-1285
Mailing address
1265 E PRIMROSE ST, SPRINGFIELD, MO 65804-4278
(417) 886-3937
(417) 886-1285
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/30/2007
Last updated
03/24/2008
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