Laura Christine Mathis PA-C

NPI 1770923823 - Physician Assistant - 363A00000X

NPI Details
NPI 1770923823
Gender Female
Enumeration Date 07/02/2013
Last Updated 04/01/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
400 W 7TH ST
MEP OBSERVATION - UNIT 4B
FREDERICK MD, 21701-4506, US
Phone (240) 566-3234
Fax
Business Location
12410 MILESTONE CENTER DR
SUITE 225
GERMANTOWN MD, 20876-7101, US
Phone (301) 944-0034
Fax (240) 313-9641
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C05077
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According to our database, Laura Christine Mathis PA-C NPI is 1770923823, taxonomy code is 363A00000X and license number is C05077, license state is located at Maryland. Laura Christine Mathis PA-C physically located at 400 W 7th St, Frederick MD, 21701-4506. NPI Number Laura Christine Mathis PA-C has the Individual type.

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1770923823 NPI number is provided on an as is basis without warranty of any kind. 1770923823 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Christine Mathis PA-C are for informational purposes only.