Individual
DR. ADAM REED MATTOX
Active
Individual
DR. ADAM REED MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
62408
MN
207R00000X
Internal Medicine Physician
11014342A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2008
Last updated
10/05/2017
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