Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Defries, L02A

Individual provider Independent Duty Corpsman · NPI 1710512009

Matthew Defries, L02A is an Independent Duty Corpsman in Virginia Beach, Virginia. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020

Practice location Address checks out

472 Polaris St Bldg 586
Virginia Beach, VA 23461-1935
Phone: (219) 869-1039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 5060000751 (IN)

Record details

NPI number1710512009
Entity typeIndividual (Type 1)
GenderMale
Credentials L02A
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935

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