Individual
DANIEL MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 902-6801
Mailing address
400 9TH ST, FLORENCE, OR 97439-7398
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO219818
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
04/10/2026
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