Individual
MATTHEW VLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
4401 WORNALL RD, ANESTHESIA DEPT., KANSAS CITY, MO 64111-3220
(816) 932-2033
Mailing address
PO BOX 50447, SAINT LOUIS, MO 63150-0001
(816) 932-7940
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2014016797
MO
Other
Enumeration date
05/27/2014
Last updated
06/05/2014
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