NPI 1013256536

Matthew Philip Scully, IDMT

Practitioner Independent Duty Medical Technicians Wright Patterson Afb, OH

Practice location

Address: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529
Phone: (616) 717-0169
Mailing address: 4061 Cloud Park Dr Aprt B-2, Huber Heights, OH 45424-8084

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Ohio →

Registry record

NPI: 1013256536
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2013
Record last updated: 4 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.