Billie Jo Mattis, PA-C

NPI #1962715235 in Mott, North Dakota

Provider Information

NPI Number: 1962715235
Entity Type: Individual
Name: Billie Jo Mattis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 15, 2010
Last Updated: Jul 2, 2013

Practice Location

Address: 420 PACIFIC AVE
City: Mott
State: North Dakota
ZIP Code: 58646-7515
Phone: (701) 824-2391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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