Individual
DR. DANA LEE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
211 S PERRINE AVE, CENTRALIA, IL 62801-3635
(618) 533-2225
Mailing address
211 S PERRINE AVE, CENTRALIA, IL 62801-3635
(618) 533-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
01/04/2007
Last updated
12/04/2007
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