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Ernesto Matos Perez, MD
General Practice Physician in Neosho, Missouri
NPI 1275994196

Ernesto Matos Perez is a General Practice Physician based in Neosho, MO. Ernesto Matos Perez practices in Neosho, MO and has the professional credentials of MD. The NPI Number for Ernesto Matos Perez is 1275994196 and holds a License No. (Missouri).

The current practice location address for Ernesto Matos Perez is 4040 Laquesta Dr, Neosho, MO and can be reached out via phone at 417-283-4953 and via fax at 417-283-4954.

Location: 4040 Laquesta Dr, Neosho, MO, 64850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275994196
Provider Name
Ernesto Matos Perez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4040 Laquesta Dr, Neosho, MO, 64850
Phone Number
417-283-4953
Fax Number
417-283-4954
Provider Enumeration Date
03/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4040 Laquesta Dr
City
Neosho
State
Missouri
Zip
64850
Phone Number
417-283-4953
Fax Number
417-283-4954
person
Provider Business Mailing Address Details
Address
4040 Laquesta Dr
City
Neosho
State
Missouri
Zip
64850
Phone Number
417-283-4953
Fax Number
417-283-4954
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2019000641 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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