Provider Demographics
NPI:1306165816
Name:MATICS, NATALIE JEANNE (MD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:JEANNE
Last Name:MATICS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:JEANNE
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:502 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6224
Mailing Address - Country:US
Mailing Address - Phone:607-382-3409
Mailing Address - Fax:
Practice Address - Street 1:502 GRANT ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6224
Practice Address - Country:US
Practice Address - Phone:073-823-4096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMMD.32810 LL207ZP0102X
IA45560207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology