Individual
DR. MICHAEL M MATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2175 CHARBONIER RD, SUITE B, FLORISSANT, MO 63031-5500
(314) 831-0181
(314) 851-4471
Mailing address
2175 CHARBONIER RD, SUITE B, FLORISSANT, MO 63031-5500
(314) 831-0181
(314) 851-4471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R7500
MO
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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