Provider Demographics
NPI:1629268586
Name:HOSLER, MATTHEW CAMDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CAMDEN
Last Name:HOSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 N NEW BALLAS CT
Mailing Address - Street 2:STE 205
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7134
Mailing Address - Country:US
Mailing Address - Phone:314-859-4460
Mailing Address - Fax:314-362-1199
Practice Address - Street 1:845 N NEW BALLAS CT
Practice Address - Street 2:STE 205
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7134
Practice Address - Country:US
Practice Address - Phone:314-859-4460
Practice Address - Fax:314-362-1199
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010021882208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics