Velma Mata, P.A.-C

NPI #1457459281 in Crystal City, Missouri

Provider Information

NPI Number: 1457459281
Entity Type: Individual
Name: Velma Mata, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Sep 20, 2006
Last Updated: Feb 8, 2008

Practice Location

Address: HIGHWAY 61 S
City: Crystal City
State: Missouri
ZIP Code: 63019
Phone: (636) 933-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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