Individual
DR. JAMES B MATTAX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R9H41
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0840001
UNITED HC OF MIDWEST
MO
01
—
118132
BLUE CROSS/SHIELD ST.LOU
MO
01
—
1402
COX HEALTH INS
MO
05
—
202545026
—
MO
05
—
202545034
—
MO
01
—
32245
OPTICARE
MO
01
—
822629
HEALTHCARE PREFERRED
MO
Enumeration date
06/13/2005
Last updated
07/01/2020
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