Individual
SCOTT E. MATTSON
Active
Individual
SCOTT E. MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02001461A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087427
ANTHEM
IN
01
—
060057216
RAILROAD
—
05
—
200207560
—
IN
05
—
2123446
—
OH
01
—
P00752848
RAILROAD
IN
Enumeration date
01/23/2006
Last updated
06/02/2022
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