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Randy Matlock
NPI 1316355373 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4927 Lunar Dr
Columbus, OH 43214 - Phone
- (614) 668-4786
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-22
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 Ohio