NPI 1093154031

James Dennis Mathews, D.O., P.C.

Organisation Health Service Clinic/Center Providence, UT

Practice location

Address: 382 W 280 N, Providence, UT 84332-0609
Phone: (435) 752-0330
Fax: (435) 755-0922

Authorised official

Name: Jennifer Marie Dewaal
Title: Office Manager
Phone: (435) 752-0330

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence 312302-1204 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1093154031
Entity type: Organization
NPI issued: 24 Jun 2013
Record last updated: 9 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.