Individual
DR. JOSE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 E 10TH AVE STE 178, SALT LAKE CITY, UT 84103-2885
(801) 408-8500
Mailing address
660 S EUCLID AVE, C B 8134, SAINT LOUIS, MO 63110-1010
(314) 286-1700
(314) 286-1777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
108726
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204659809
—
MO
Enumeration date
07/17/2006
Last updated
08/04/2021
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