Provider Demographics
NPI:1205853710
Name:DOBBS, MATTHEW BARRETT (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:BARRETT
Last Name:DOBBS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8233
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-514-3500
Mailing Address - Fax:314-454-4562
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:STE 1B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6062
Practice Address - Fax:314-454-4562
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2020-04-27
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Provider Licenses
StateLicense IDTaxonomies
MO2001014611207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILENROLLEDMedicaid
MO205427305Medicaid
IL$$$$$$$$$Medicaid