Individual
MATTHEW J. FREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
201812813
MO
363A00000X
Physician Assistant
PA.200807
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220053397
—
MO
05
—
2395092
—
LA
Enumeration date
03/31/2015
Last updated
02/28/2023
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