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MR. MATTHEW STEPHEN ZIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122, SAINT LOUIS, MO 63110-1035
(314) 286-1700
(314) 970-9094
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1700
(314) 970-9094

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022004012
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420108206
MO
Enumeration date
02/11/2022
Last updated
04/17/2025
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