Individual provider · Type 1 NPI

Judith Makenzie Mathess, MD (APRIL 28, 2024)

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1952153512 Active

Practice location

1 Wyoming Street, BG020
Dayton, OH 45409

Mailing address

1 Wyoming Street,, BG020
Dayton, OH 45409

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952153512

Judith Makenzie Mathess, MD (APRIL 28, 2024)'s National Provider Identifier is 1952153512, issued on Apr 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Apr 4, 2024.