Mathern, Peter

Mathern, Peter is an individual health care provider with primary practice located at 77 W Forest Ave , Flagstaff AZ 86001-1479. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Mathern, Peter can be contacted via phone (928) 635-7307.

Contact Information

Primary practice address
77 W Forest Ave Flagstaff AZ 86001-1479
Phone: (928) 635-7307
Fax: (928) 774-3844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 24332 Arizona
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 24332 Arizona

Profile Details

NPI number 1316995699
LBN Legal business name Mathern, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 1st, 2024 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316995699 NPPES
Arizona MEDICAID 361311

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