Individual
ISAAC J MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 E MAIN ST, STANBERRY, MO 64489-1358
(660) 783-2192
(660) 783-2616
Mailing address
202 E MAIN ST, STANBERRY, MO 64489-1358
(660) 783-2192
(660) 783-2616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025032839
MO
207Q00000X
Family Medicine Physician
2864
NE
Other
Enumeration date
06/27/2022
Last updated
08/14/2025
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