Individual
JOHN R MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 24TH ST, #100, ANACORTES, WA 98221-2592
(360) 293-1115
Mailing address
1213 24TH ST, #100, ANACORTES, WA 98221-2592
(360) 293-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031284
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1088947
—
WA
Enumeration date
11/08/2006
Last updated
07/08/2007
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