Individual provider · Type 1 NPI

Matthew Dille

Student in an Organized Health Care Education/Training Program · Jefferson City, MO

NPI number 1194609719 Active

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Call (573) 632-5000 Map

Mailing address

1387 Autumn Ridge Dr
Holts Summit, MO 65043-2014

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194609719

Matthew Dille's National Provider Identifier is 1194609719, issued on Aug 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jefferson City, MO. The record was last updated on Aug 5, 2025.