NPI 1023849304
Mackinely Goldthwaite, IDC
Practice location
- Address
- Psc 836 Box 2670, Fpo, AE 09636-9998
- Phone
- (603) 731-9392
- Mailing address
- 5543 Adobe Falls Rd Unit 6, San Diego, CA 92120-4458
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1023849304
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Aug 2024
- Record last updated
- 1 Aug 2025
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.