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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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