James Mathis, M.d.

NPI #1780072991 in Pilot Knob, Missouri

Provider Information

NPI Number
1780072991
Entity Type
Organization
Organization Name
James Mathis, M.d.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Dec 23, 2014
Last Updated
Dec 23, 2014

Practice Location

Address
1411 RAINBOW AVE,, IRONTON, MO. 63650
ZIP Code
63663-0528
Phone
(573) 218-0730

Authorized Official

Name
DR. JAMES STEVENS MATHIS, M.D.
Title
GENERAL PRACTICE
Phone
(573) 218-0730

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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