NPI 1205063799
Darrell Anthony Mathieu, IDMT
Practice location
- Address
- 5955 Zeamer Ave 3 Amds, Elmendorf, AK 99506
- Phone
- (907) 551-4006
- Mailing address
- 5955 Zeamer Ave, Elmendorf, AK 99506
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1205063799
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jun 2009
- Record last updated
- 11 Jun 2009
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.