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1336185107
JOHN M MATHIS
ROANOKE, VA
NPI
1336185107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: VA 0101033765)
Enumeration Date
2006-06-21
Last Update Date
2007-12-13
Business Address
JOHN M MATHIS MD
2107 ROSALIND AVE SW
ROANOKE, VA 24014-1717
Phone number: 540-904-6170
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Mailing Address
JOHN M MATHIS MD
PO BOX 12526
ROANOKE, VA 24026-2526
Phone number: 540-904-6170
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