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Individual

DR. MATTHEW H BIGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 200-4243

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
112491
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208706317
MO
Enumeration date
12/27/2006
Last updated
11/19/2014
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