Organization
STANLEY K MATHIS DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY KEITH MATHIS DPM (PRESIDENT)
(949) 412-8445
Entity
Organization
Contact information
Practice address
211 AVENIDA BARCELONA, SAN CLEMENTE, CA 92672-5469
(949) 412-8445
(949) 218-0022
Mailing address
211 AVENIDA BARCELONA, SAN CLEMENTE, CA 92672-5469
(949) 412-8445
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
05/24/2019
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