MEDICARE: DR. MATTHEW ALAN FLORY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2001021787	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	350056209	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	U89838	OTHER	MO	MERCY
2	468032	OTHER	MO	HEALTHLINK
4	4666C1	OTHER	MO	BC/BS CHOICE
5	157268	OTHER	MO	BC/BS ALLIANCE
6	4401281	OTHER	MO	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1740270172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW ALAN FLORY DC

Provider Business Mailing Address
First Line	:	8403 MARYLAND AVE
Second Line	:
City	:	CLAYTON
State	:	MO
Zip	:	63105-3646
Country	:	US
Telephone Number	:	314-725-3358
Fax Number	:

Provider Business Practice Location Address
First Line	:	8403 MARYLAND AVE
Second Line	:
City	:	CLAYTON
State	:	MO
Zip	:	63105-3646
Country	:	US
Telephone Number	:	314-725-3358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	09/19/2012

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Directions to “ DR. MATTHEW ALAN FLORY DC” Practice Location

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