Organization
PAUL MATTOX MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A MATTOX MD (OWNER)
(970) 375-2111
Entity
Organization
Contact information
Practice address
501 AIRPORT DR, SUITE 263, FARMINGTON, NM 87401-2652
(970) 375-2111
(970) 375-2444
Mailing address
PO BOX 478, DURANGO, CO 81302-0478
(970) 375-2111
(970) 375-2444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9985
NM
Other
Enumeration date
02/24/2011
Last updated
06/13/2011
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