Individual
MORGAN FULLMER MATHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2421 E SOUTHERN AVE, STE 7, TEMPE, AZ 85282-7612
(602) 262-8900
(602) 262-8890
Mailing address
PO BOX 41150, MESA, AZ 85274-1150
(480) 425-2162
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
006380
AZ
Other
Enumeration date
07/01/2010
Last updated
10/27/2020
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