Organization
MATHIS ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY R. MATHIS DO (PRESIDENT)
(614) 461-6634
Entity
Organization
Contact information
Practice address
94 N. HIGH ST, SUITE 200, DUBLIN, OH 43017
(614) 461-6634
(614) 461-1730
Mailing address
720 EAST BROAD ST, SUITE 100, COLUMBUS, OH 43215
(614) 461-6634
(614) 461-1730
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34008175-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2552116
—
OH
Enumeration date
09/17/2009
Last updated
09/17/2009
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