Gordon A Matlock, MD

NPI #1952343543 in Longview, Washington

Provider Information

NPI Number: 1952343543
Entity Type: Individual
Name: Gordon A Matlock, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jun 11, 2006
Last Updated: May 3, 2012

Practice Location

Address: 1615 DELAWARE ST
Address 2: SUITE 100
City: Longview
State: Washington
ZIP Code: 98632-2310
Phone: (360) 577-6628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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