NPI 1669548673

Amanda R Self, MD

Practitioner General Practice Physician Fpo, AP

Practice location

Address: 7th Comm Bn Hq Co Bas Unit 35610, Fpo, AP 96606-5610
Phone: (318) 402-0604
Mailing address: 3944 Highway 175, Frierson, LA 71027-2159

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01062935A (IN)

Other General Practice providers in Armed Forces Pacific →

Registry record

NPI: 1669548673
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2006
Record last updated: 20 Apr 2008

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.