DR. MARK R MATHEWS MD

Allergy and Immunology

Phoenix, Arizona

Provider NPI: 1386612513

Provider Information:
DR. MARK R MATHEWS MD


Practice Location:
645 E MISSOURI AVE STE 300  PHOENIX, AZ 85012 US
Tel: 602-262-8900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207L00000X	Physicians Anesthesiology	AZ	18119

Other Provider Identifiers:

Issuer	Number	State	Type
	016114	AZ	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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