Individual
DANIEL L. MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-8490
Mailing address
3643 N ROXBORO ST, DURHAM REGIONAL HOSPITALIST, DURHAM, NC 27704-2702
(919) 470-8490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23994
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89127WO
—
NC
Enumeration date
01/09/2007
Last updated
10/14/2008
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