Most Relevant Information
Provider Data
| NPI Number: | 1003053653 |
| Provider Name: | STANLEY JOHN MATHEW M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 249874 |
Most Important Dates
| Enumeration Date: | 01/17/2009 |
| Last Updated: | 11/07/2011 |
Provider Practice Location
1026 A AVE NE
SUITE 3026
CEDAR RAPIDS
IA
524025036
Practice Location Phone/Fax
| Phone: | 3193697331 |
| Fax: |
Provider Mailing Location
1026 A AVE NE
P.O BOX 3026
CEDAR RAPIDS
IA
524025036
Provider Mailing Phone/Fax
| Phone: | 3193697331 |
| Fax: |