STEPHEN MICHAEL MATLOCK
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1811494727- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7901 W 135TH ST, OVERLAND PARK, KS, 66223
- Phone
- (913) 451-7546
- Fax
- (913) 663-2411
Specialties & Taxonomies
Dermatology, MOHS-Micrographic Surgery
License: KS #04-46232
Dermatology
Primary License: KS #04-46232