Individual
DR. JAMES MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 ENTERPRISE DR STE B, PHILIPSBURG, PA 16866-3174
(814) 342-6636
(814) 342-5230
Mailing address
PO BOX 68, OSCEOLA MILLS, PA 16666-0068
(814) 339-7101
(814) 339-6165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD020607E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005986580001
—
PA
Enumeration date
07/13/2006
Last updated
10/29/2007
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