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Individual

MR. MATTHEW JOHN CONDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PA-C

Contact information

Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Mailing address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 823-2981

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022001110
MO
363A00000X
Physician Assistant
PA00577
TX

Other

Enumeration date
07/24/2006
Last updated
08/24/2023
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