Kojiro Matsumoto MD

NPI 1780813840 - Family Medicine - 207Q00000X

NPI Details
NPI 1780813840
Gender Male
Enumeration Date 07/10/2009
Last Updated 07/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
520 N 4TH ST
SPRINGFIELD IL, 62702-5238, US
Phone (217) 757-8100
Fax (217) 747-1351
Business Location
PO BOX 19656
SPRINGFIELD IL, 62794-9656, US
Phone (217) 545-8853
Fax (217) 545-0828
Taxonomy Code 207Q00000X
License State Illinois
License Number 125-057080
Remove 1780813840 NPI Number

According to our database, Kojiro Matsumoto MD NPI is 1780813840, taxonomy code is 207Q00000X and license number is 125-057080, license state is located at Illinois. Kojiro Matsumoto MD physically located at 520 N 4th St, Springfield IL, 62702-5238. NPI Number Kojiro Matsumoto MD has the Individual type.

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1780813840 NPI number is provided on an as is basis without warranty of any kind. 1780813840 is maintained by the National Plan & Provider Enumeration System. The contents of Kojiro Matsumoto MD are for informational purposes only.