Doctor Name: | DR. JAMES R MATHEWS |
NPI Number: | 1285845701 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35028581 |
Business Practice Address: | 570 W Stewart Street Dayton, OH - 45408 |
Business Phone Number: | 9372633508 |
Business Fax Number: | 9372237408 |
Mailing Address: | 570 W Stewart Street, DAYTON |
State: | OH |
Postal Code: | 45408 |
Phone Number: | 9372633508 |
Fax Number: | 9372237408 |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35028581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |