Provider Demographics
NPI:1902877871
Name:MATZ, CONRAD FRANCIS IV (DC)
Entity type:Individual
Prefix:DR
First Name:CONRAD
Middle Name:FRANCIS
Last Name:MATZ
Suffix:IV
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3825 OLD WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1842
Mailing Address - Country:US
Mailing Address - Phone:724-327-0922
Mailing Address - Fax:724-327-9655
Practice Address - Street 1:3825 OLD WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1842
Practice Address - Country:US
Practice Address - Phone:724-327-0922
Practice Address - Fax:724-327-9655
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009545111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor