Gordon A Matlock is a Specialist in Longview, Washington. Gordon A Matlock practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gordon A Matlock is 1952343543. The last update date is 2012-05-03.
Gordon A Matlock's current location address is Po Box 2400, Longview, Washington. You can contact this provider via phone number 3605776628. The mailing address for Gordon A Matlock is Po Box 2400, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon A Matlock |
|---|---|
| Address | Po Box 2400, Longview, Washington |
| Phone Number | 3605776628 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952343543 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2012-05-03 |
Provider Mailing Address Detail
| Address | Po Box 2400 |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986328461 |
| Phone Number | 3605776628 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00017271 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1540608 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gordon A Matlock by the Centers for Medicare & Medicaid Services?
The Gordon A Matlock has been assigned the NPI (National Provider Identifier) 1952343543. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gordon A Matlock is located?
The Gordon A Matlock is situated at the following address: Po Box 2400, Longview, WA, 986328461.
What is Gordon A Matlock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gordon A Matlock is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952343543 to Gordon A Matlock?
The Gordon A Matlock received its 1952343543 assignment from the Centers for Medicare & Medicaid Services on 2006-06-11.
When was the information related to Gordon A Matlock most recently updated or refreshed?
The details pertaining to the Gordon A Matlock, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-05-03.