Search › Missouri › Plastic and Reconstructive Surgery Physician
Matthew Concannon, MD
NPI 1366496515 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3115 Falling Leaf Ct
Columbia, MO 65201 - Phone
- (573) 449-5000
- Fax
- (573) 449-5010
- Organisation at this address
- Matthew Concannon Llc
Specialty Surgical ServicesInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Plastic and Reconstructive Surgery Physician
2086S0122X
- 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