Individual
JOHN A. MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
(304) 473-2180
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
(304) 473-2180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10471
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055614000
—
WV
Enumeration date
07/21/2006
Last updated
06/02/2008
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