Individual
MIKEL MATTO
Active
Individual
MIKEL MATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
207172
OR
2084P0800X
Psychiatry Physician
61207081
WA
2084P0800X
Psychiatry Physician
A122499
CA
Other
Enumeration date
04/29/2011
Last updated
10/25/2022
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