Search › Missouri › 103TC0700X
Matthew Fanetti
NPI 1124488119 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3219 S Westwood Ave
Springfield, MO 65807 - Phone
- (417) 882-9423
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- NV, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri