Individual
MATHEW MATALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
103 DUCHESS DR, MADISON, AL 35758-6123
(256) 509-1995
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-141423
AL
Other
Enumeration date
12/26/2018
Last updated
04/08/2022
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