Individual
JIMMY L MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2123 CIVIC CENTER DR, N LAS VEGAS, NV 89030-6327
(702) 772-8063
Mailing address
2123 CIVIC CENTER DR, N LAS VEGAS, NV 89030-6327
(702) 772-8063
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
00093077
NV
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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