NPI 1659612927
Michael Othello Mathis, SURFACEFORCEIDC
Practice location
- Address
- Uss Truxtun Ddg 103, Fpo, AE 09588-1309
- Phone
- (757) 445-6164
Registered specialties
Operational (Transportable) Military General Acute Care Hospital
Primary
Registry record
- NPI
- 1659612927
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Mar 2013
- Record last updated
- 11 Mar 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.