Individual
MR. DAVID MARK MATTIUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1315 N WATER ST, DECATUR, IL 62526-4467
(217) 429-0958
(217) 429-1096
Mailing address
6505 CARLISLE BND, SPRINGFIELD, IL 62711-6795
(217) 697-8342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293925
IL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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