Individual
DOUGLAS ROBERT MATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6404 E REDMONT DR, MESA, AZ 85215-9790
(480) 559-2174
(480) 396-4805
Mailing address
6404 E REDMONT DR, MESA, AZ 85215-9790
(480) 559-2174
(480) 396-4805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S008797
AZ
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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