Individual
DR. FREDERICK L MATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(786) 621-3900
(307) 875-8800
Mailing address
2780 HITCHING POST DR, GREEN RIVER, WY 82935-6155
(786) 621-3900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7199A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120672900
—
WY
Enumeration date
05/03/2006
Last updated
02/14/2022
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