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Ryan Matherly, M.D
NPI 1356344972 · on the registry since 2005
Practice
- Address
- 2115 W Lexington Ave
Elkhart, IN 46514 - Phone
- (574) 296-3955
- Fax
- (574) 296-3999
- Organisation at this address
- Privia Medical Group Indiana, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana