Dr. Allan Lee Mattern I
Internist - Cardiovascular Disease
111 S 5th St
Douglas
, Wyoming 82633-2434
Dr. Allan Lee Mattern I
Internist - Cardiovascular Disease
111 S 5th St
Douglas
, Wyoming 82633-2434
(307) 358-7300
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Allan Lee Mattern I
- 111 S 5th St
- Douglas, WY
- Zip : 82633-2434
- Phone : (307) 358-7300
Second Address
- Dr. Allan Lee Mattern I
- 111 S 5th St
- Douglas, WY
- Zip : 82633-2434
- Phone : (307) 358-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 3059A | WY |
National Provider Identifier
| NPI | 1023175635 |
|---|---|
| Provider Name | Dr. Allan Lee Mattern I |
| First Address | Douglas, WY 82633-2434 |
| Second Address | Douglas, WY 82633-2434 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2007 |
| Last Update Date | 22/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 060025397 | RR MCARE - WCPS (01) | WY |
| 060040677 | RAILROAD MEDICARE (01) | WY |
| 102651800 | (05) | WY |
| 304480 | BLUE SHIELD (01) | WY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.