Individual
DR. JOSHUA D MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8415 BAYSHORE BLVD. MACDILL AFB, 6MDOS/SGOX, MACDILL AFB, FL 33621-1607
(813) 827-9640
Mailing address
8415 BAYSHORE BLVD. MACDILL AFB, 6MDOS/SGOX, MACDILL AFB, FL 33621-1607
(813) 827-9640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A87350
CA
Other
Enumeration date
12/27/2005
Last updated
07/18/2008
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