Organization
JAMES MATHIS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES STEVENS MATHIS M.D. (GENERAL PRACTICE)
(573) 218-0730
Entity
Organization
Contact information
Practice address
1411 RAINBOW AVE,, IRONTON, MO. 63650, PILOT KNOB, MO 63663-0528
(573) 218-0730
Mailing address
1411, P.O. BOX 528, PILOT KNOB, MO 63663-0528
(573) 218-0730
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
R3457
MO
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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