Organization
KINGMAN PULMONARY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GREGG MATHENY MD (PRESIDENT)
(928) 757-3133
Entity
Organization
Contact information
Practice address
1739 E BEVERLY AVE, SUITE 106, KINGMAN, AZ 86409-3593
(928) 757-3133
(928) 757-3136
Mailing address
1739 E BEVERLY AVE, SUITE 106, KINGMAN, AZ 86409-3593
(928) 757-3133
(928) 757-3136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32495
AZ
Other
Enumeration date
04/24/2007
Last updated
12/06/2007
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