Paul C Mattox is a Medical in Bloomington, Indiana. Paul C Mattox practices all healthcare services and medical treatments related to Medical. The NPI Number for Paul C Mattox is 1568562007. The last update date is 2023-02-08.
Paul C Mattox's current location address is 500 S Liberty Dr Ste 482, Bloomington, Indiana. You can contact this provider via phone number 8129185907 and fax number 8123536888. The mailing address for Paul C Mattox is 500 S Liberty Dr Ste 482, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul C Mattox |
|---|---|
| Address | 500 S Liberty Dr Ste 482, Bloomington, Indiana |
| Phone Number | 8129185907 |
| Fax Number | 8123536888 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568562007 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2023-02-08 |
Provider Mailing Address Detail
| Address | 500 S Liberty Dr Ste 482 |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474031924 |
| Phone Number | 8129185907 |
| Fax Number | 8123536888 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 10000648A |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300018336 | IN | -- |
Post Comment/ Review Below
What is the Paul C Mattox's 1568562007?
The Paul C Mattox's NPI (National Provider Identifier) Number is 1568562007. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Paul C Mattox's facilities are situated?
The facilities of Paul C Mattox are physically located at the following address: 500 S Liberty Dr Ste 482, Bloomington, IN, 474031924.
What is Paul C Mattox's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul C Mattox is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Paul C Mattox receive its 1568562007 assignment from the Centers for Medicare & Medicaid Services?
The Paul C Mattox was assigned its 1568562007 by the Centers for Medicare & Medicaid Services on 2006-09-24.
When was the information regarding Paul C Mattox most recently updated?
The details pertaining to the Paul C Mattox, including its address, specialty, and other relevant information, were last refreshed on 2023-02-08.