Individual
MATTHEW ACTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2341 E PLATEAU PL, BLOOMINGTON, IN 47401-9502
(812) 606-2820
Mailing address
2341 E PLATEAU PL, BLOOMINGTON, IN 47401-9502
(812) 606-2820
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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