Individual
JEFFREY DAVID MATTHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 DOWELL SPRINGS BLVD STE 200, KNOXVILLE, TN 37909-2457
(865) 584-0291
(865) 584-4426
Mailing address
PO BOX 7239, LOVELAND, CO 80537-0239
(402) 489-9400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
17529
NE
2085R0202X
Diagnostic Radiology Physician
Primary
63689
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521013
—
IA
05
—
100146450A
—
KS
01
—
300029831
RR MEDICARE
NE
05
—
7787070
—
SD
05
—
Q072920
—
TN
Enumeration date
06/02/2006
Last updated
09/21/2023
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