Individual provider · Type 1 NPI
Martin Dale Mathis
Driver · Stafford, VA
NPI number
1336878131
Active
Practice location
82 State Shop Rd
Stafford, VA 22554-7322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | B69620707 (VA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1336878131
Martin Dale Mathis's National Provider Identifier is 1336878131, issued on Jun 7, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Stafford, VA. The record was last updated on Jun 7, 2022.