Individual
DR. MIKE T MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
405 N 500 W, VERNAL, UT 84078-1907
(435) 781-3488
(435) 781-3479
Mailing address
405 N 500 W, VERNAL, UT 84078-1907
(801) 425-5988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6729413-1701
UT
Other
Enumeration date
09/15/2011
Last updated
05/08/2025
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