Phillip Matoesian

NPI #1023387719 in Granite City, Illinois

Provider Information

NPI Number
1023387719
Entity Type
Individual
Name
Phillip Matoesian
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 24, 2011
Last Updated
Dec 24, 2011

Practice Location

Address
2001 MADISON AVE
ZIP Code
62040-4618
Phone
(618) 876-5095

Specialties & Taxonomy Codes

Specialty
Pharmacist

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