Individual
CHARLES MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 INDEPENDENCE AVE SW, WASHINGTON, DC 20591-0001
(405) 954-4821
Mailing address
800 INDEPENDENCE AVE SW, WASHINGTON, DC 20591-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N5228
TX
2083A0100X
Aerospace Medicine Physician
Primary
N5228
TX
Other
Enumeration date
08/05/2007
Last updated
11/08/2024
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