Individual
MR. TERRY LEE MATHIS VIII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3914 BARRY DR, BILLINGS, MT 59105-4703
(406) 670-2079
(406) 248-3430
Mailing address
PO BOX 35500 PMB 227, BILLINGS, MT 59107-5500
(406) 670-2079
(406) 248-3430
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5605119
—
MT
Enumeration date
03/06/2007
Last updated
07/09/2007
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