Search › Indiana › 363AM0700X
Paul Mattox, PA-C
NPI 1568562007 · on the registry since 2006
Practice
- Address
- 500 S Liberty Dr Ste 482
Bloomington, IN 47403 - Phone
- (812) 918-5907
- Fax
- (812) 353-6888
- Organisation at this address
- Kroger Limited Partnership I
Indiana University Health Urgent Care Centers, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1501 Hartford St, Lafayette, IN
- 7910 E Washington St Ste 110, Indianapolis, IN
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana