Organization
CRAIG M. MATHERNE, M.D., A.P.M.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG MICHAEL MATHERNE M.D. (OWNER)
(337) 457-8040
Entity
Organization
Contact information
Practice address
3521 HIGHWAY 190, SUITE P, EUNICE, LA 70535-5135
(337) 457-8040
(337) 457-8043
Mailing address
3521 HIGHWAY 190, SUITE P, EUNICE, LA 70535-5135
(337) 457-8040
(337) 457-8043
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
13221R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558729
—
LA
01
—
DR4154
MEDICARE ID TYPE UNSPECIFIED
LA
Enumeration date
04/19/2010
Last updated
02/05/2013
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