Roderick L Matticks in Springfield - Family Medicine
Roderick L Matticks - NPI 1265602452
Roderick L Matticks is a Family Medicine in Springfield, Illinois. Roderick L Matticks practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Roderick L Matticks is 1265602452. The last update date is 2014-07-15.
Roderick L Matticks's current location address is 6309 Wind Tree Rd, Springfield, Illinois. You can contact this provider via phone number 2175856666. The mailing address for Roderick L Matticks is 6309 Wind Tree Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roderick L Matticks |
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Address | 6309 Wind Tree Rd, Springfield, Illinois |
Phone Number | 2175856666 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1265602452 |
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Provider Enumeration Date | 2008-03-04 |
Last Updated Date | 2014-07-15 |
Provider Mailing Address Detail
Address | 6309 Wind Tree Rd |
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City | Springfield |
State | Illinois (IL) |
Post Code | 627123738 |
Phone Number | 2175856666 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 36080098 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Roderick L Matticks by the Centers for Medicare & Medicaid Services?
The Roderick L Matticks has been issued the NPI (National Provider Identifier) 1265602452, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Roderick L Matticks located?
The Roderick L Matticks is located at 6309 Wind Tree Rd, Springfield, IL 627123738.
What is Roderick L Matticks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Roderick L Matticks is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Roderick L Matticks receive the assignment of its 1265602452 from the Centers for Medicare & Medicaid Services?
The Roderick L Matticks was issued its 1265602452 by the Centers for Medicare & Medicaid Services on 2008-03-04.
As of what date were the details pertaining to Roderick L Matticks last refreshed?
The information related to the Roderick L Matticks, including its address, specialty, and other relevant details, was last updated on 2014-07-15.
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