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Gordon A Matlock, MD
Specialist in Longview, Washington
NPI 1952343543

Gordon A Matlock is a Specialist based in Longview, WA. Gordon A Matlock practices in Longview, WA and has the professional credentials of MD. The NPI Number for Gordon A Matlock is 1952343543 and holds a License No. MD00017271 (Washington).

The current practice location address for Gordon A Matlock is 1615 Delaware St, Longview, WA and can be reached out via phone at 360-577-6628.

Location: 1615 Delaware St, Longview, WA, 98632-8461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952343543
Provider Name
Gordon A Matlock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1615 Delaware St, Longview, WA, 98632-8461
Phone Number
360-577-6628
Fax Number
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1540608 05 WA
institution
Provider Business Practice Location Address Details
Address
1615 Delaware St
City
Longview
State
Washington
Zip
98632-2310
Phone Number
360-577-6628
Fax Number
person
Provider Business Mailing Address Details
Address
1615 Delaware St
City
Longview
State
Washington
Zip
98632-2310
Phone Number
360-577-6628
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00017271 (Washington)
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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