Individual
DR. DAVID MICHAEL MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(702) 499-8815
Mailing address
11035 LAVENDER HILL DR STE 160-514, LAS VEGAS, NV 89135-2955
(702) 499-8815
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A8391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A8391
PSYCHIATRY
CA
Enumeration date
07/06/2006
Last updated
10/11/2021
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