Individual
STEPHEN J MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 S CREASY LN, SUITE 130, LAFAYETTE, IN 47905-7438
(765) 447-7447
(765) 447-1767
Mailing address
5655 HUDSON DR STE 210, ARIS RADIOLOGY, HUDSON, OH 44236-4455
(330) 655-1869
(330) 655-3828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01040685A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360303
ANTHEM PROVIDER NUMBER
IN
05
—
100363100
—
IN
Enumeration date
08/30/2006
Last updated
06/12/2023
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