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Mark Mattingly

NPI 1134249238 · on the registry since 2007 · sole proprietor

Practice

Address
434 N West St
Perryville, MO 63775
Phone
(573) 547-2530
Organisation at this address
Mercy Hospital Perry
Mercy Hospital Perry
Perry County Health System
Perry County Health System
Perry County Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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