Individual
ANDREW MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
4459 S WILLOWBROOK CT, TERRE HAUTE, IN 47802-8781
(812) 240-6299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001912A
IN
Other
Enumeration date
09/17/2015
Last updated
02/20/2017
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