Individual
DR. MATTHEW DANIEL COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 THE BOULEVARD SAINT LOUIS, RICHMOND HEIGHTS, MO 63117-1118
(314) 863-4200
(314) 771-0596
Mailing address
15 THE BOULEVARD SAINT LOUIS, RICHMOND HEIGHTS, MO 63117-1118
(314) 863-4200
(314) 771-0596
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2008008162
MO
Other
Enumeration date
09/02/2006
Last updated
10/15/2020
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