Individual
MR. DOUG VICTOR MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 283, HOWE, OK 74940-0283
(918) 721-6246
Mailing address
PO BOX 253, HOWE, OK 74940-0253
(918) 721-6246
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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