Individual
SETH MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Mailing address
1213 VERNA LN, NIXA, MO 65714-8208
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
F01261072
MO
363L00000X
Nurse Practitioner
Primary
F01261072
MO
Other
Enumeration date
01/30/2026
Last updated
02/11/2026
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