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Dr. Allan Lee Mattern I, MD
Cardiovascular Disease Physician in Douglas, Wyoming
NPI 1023175635

Allan Lee Mattern I is a Cardiovascular Disease Physician based in Douglas, WY and is specialized in Cardiovascular Disease. Allan Lee Mattern I practices in Douglas, WY and has the professional credentials of MD. The NPI Number for Allan Lee Mattern I is 1023175635 and holds a License No. 3059A (Wyoming).

The current practice location address for Allan Lee Mattern I is 111 S 5Th St, Douglas, WY and can be reached out via phone at 307-358-7300.

Location: 111 S 5Th St, Douglas, WY, 82633-2434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023175635
Provider Name
Allan Lee Mattern I
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 S 5Th St, Douglas, WY, 82633-2434
Phone Number
307-358-7300
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
304480 01 WY BLUE SHIELD
060025397 01 WY RR MCARE - WCPS
060040677 01 WY RAILROAD MEDICARE
102651800 05 WY
institution
Provider Business Practice Location Address Details
Address
111 S 5Th St
City
Douglas
State
Wyoming
Zip
82633-2434
Phone Number
307-358-7300
Fax Number
person
Provider Business Mailing Address Details
Address
111 S 5Th St
City
Douglas
State
Wyoming
Zip
82633-2434
Phone Number
307-358-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3059A (Wyoming)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
3059A (Wyoming)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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