Individual
DR. CARL MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 277-5013
(812) 275-5918
Mailing address
PO BOX 964, BEDFORD, IN 47421-0964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01023944A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380260
—
IN
Enumeration date
09/16/2005
Last updated
01/05/2016
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