Most Relevant Information
Provider Data
| NPI Number: | 1003438003 |
| Provider Name: | MATTHEW GIRGIS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/12/2020 |
| Last Updated: | 05/12/2020 |
Provider Practice Location
1331 W 32ND ST
JOPLIN
MO
648041601
Practice Location Phone/Fax
| Phone: | 4173476767 |
| Fax: |
Provider Mailing Location
7223 ADAMS ST APT 3
FOREST PARK
IL
601301996
Provider Mailing Phone/Fax
| Phone: | 6309309894 |
| Fax: |