Individual
DAVID MICHAEL MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-2200
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
019744
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378283
—
LA
Enumeration date
08/21/2006
Last updated
10/29/2008
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