Paul Mattox Md Pc | |
501 Airport Dr Suite 263 Farmington NM 87401-2652 | |
(970) 375-2111 | |
(970) 375-2444 |
Full Name | Paul Mattox Md Pc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 501 Airport Dr, Farmington, New Mexico |
Authorized Official Name and Position | Paul A Mattox (OWNER) |
Authorized Official Contact | 9703752111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paul Mattox Md Pc Po Box 478 Durango CO 81302-0478 Ph: (970) 375-2111 | Paul Mattox Md Pc 501 Airport Dr Suite 263 Farmington NM 87401-2652 Ph: (970) 375-2111 |
NPI Number | 1356648414 |
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Provider Enumeration Date | 02/24/2011 |
Last Update Date | 06/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356648414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 9985 (New Mexico) | Primary |
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