Individual
DAVID MATTOX II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1707 BETHANY RD, ANDERSON, IN 46012-9669
(765) 393-9083
Mailing address
1707 BETHANY RD, ANDERSON, IN 46012-9669
(765) 393-9083
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28212055A
IN
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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