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Individual
JOSEPH M MATTOX
Active
Individual
JOSEPH M MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051027A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01051027A
IN
2080S0010X
Pediatric Sports Medicine Physician
01051027A
IN
Other
Enumeration date
06/21/2006
Last updated
03/09/2026
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