Individual
ROGER C MATHEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8141
(740) 687-8973
Mailing address
PO BOX 550, LANCASTER, OH 43130-0550
(740) 687-5164
(740) 654-1417
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-061031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2226906
—
OH
Enumeration date
08/10/2005
Last updated
02/08/2012
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