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Individual

DR. MATTHEW DANIEL BOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1501 SKYLAND BLVD E, TUSCALOOSA, AL 35405-4231
(205) 750-8529
Mailing address
PO BOX 71588, TUSCALOOSA, AL 35407-1588
(205) 427-8857

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA06TA553
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051506198
AL
Enumeration date
08/04/2006
Last updated
03/22/2011
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