Nathaniel Mattison
NPI #1073180758 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1073180758
- Entity Type
- Individual
- Name
- Nathaniel Mattison
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jun 9, 2021
- Last Updated
- Oct 25, 2023
Practice Location
- Address
- 1501 KINGS HWY
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-4228
- Phone
- (318) 626-1036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Emergency Medicine |
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