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Individual

MATTHEW HOBART MARDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
(859) 323-1080
Mailing address
DEPARTMENT OF ANESTHESIOLOGY 1 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-9522
(573) 882-2226

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2019021882
MO
207L00000X
Anesthesiology Physician
Primary
58082
KY
207L00000X
Anesthesiology Physician
TP594
KY

Other

Enumeration date
06/20/2019
Last updated
10/25/2023
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