Dr. Mathis P Frick
Nuclear Medicine Specialist
101 Stadium Dr
Morgantown
, West Virginia 26506-7911
Dr. Mathis P Frick
Nuclear Medicine Specialist
101 Stadium Dr
Morgantown
, West Virginia 26506-7911
(304) 293-6963
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Mathis P Frick
- Po Box 897
- Morgantown, WV
- Zip : 26507-0897
- Fax : (304) 293-6963
- Phone : (304) 293-7401
Second Address
- Dr. Mathis P Frick
- 101 Stadium Dr
- Morgantown, WV
- Zip : 26506-7911
- Fax : (304) 293-6963
- Phone : (304) 598-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 17158 | WV |
National Provider Identifier
| NPI | 1366401630 |
|---|---|
| Provider Name | Dr. Mathis P Frick |
| First Address | Morgantown, WV 26507-0897 |
| Second Address | Morgantown, WV 26506-7911 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 08/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0119394000 | (05) | WV |
| D17285 | (02) |
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.