Individual
DR. MARVIN PERRY MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 OKI PLACE, KAUNAKAKAI, HI 96748
(808) 553-5038
(808) 553-3780
Mailing address
PO BOX 2040, KAUNAKAKAI, HI 96748-2040
(808) 553-5038
(808) 553-3780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G30634
CA
174400000X
Specialist
Primary
MD17722
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G306340
—
CA
Enumeration date
04/19/2006
Last updated
03/01/2016
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