Individual
MATTHEW ELLIOTT MAINORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 384-6800
(937) 384-6939
Mailing address
5061 ARTESIA DR, KETTERING, OH 45440-2433
(937) 384-6800
(937) 384-6939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7607573-1205
UT
Other
Enumeration date
10/02/2007
Last updated
02/18/2011
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