Individual
GRANT MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 WEST 6TH ST, MOUNTAIN HOME, AR 72653-3207
(870) 425-1787
(870) 425-2009
Mailing address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-1787
(870) 425-2009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-5332
AR
207RN0300X
Nephrology Physician
Primary
E-5332
AR
Other
Enumeration date
04/12/2007
Last updated
10/16/2013
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