Michael Othello Mathis Jr., SURFACEFORCEIDC

Individual provider Operational (Transportable) Military General Acute Care Hospital · NPI 1659612927

Michael Othello Mathis Jr., SURFACEFORCEIDC is an Operational (Transportable) Military General Acute Care Hospital in FPO, Armed Forces Europe. Practices as a sole proprietor. Licensed in California.

Licensed in: CA
In the registry since: 2013

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Practice location Address may be wrong

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Uss Truxtun Ddg 103
FPO, AE 09588-1309
Phone: (757) 445-6164

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Specialties & licences

Operational (Transportable) Military General Acute Care Hospital (primary)	Taxonomy 2865X1600X (CA)

Record details

NPI number	1659612927
Entity type	Individual (Type 1)
Gender	Male
Credentials	SURFACEFORCEIDC
Sole proprietor	Yes
NPI enumerated	March 11, 2013
Last updated in NPPES	March 11, 2013
Mailing address	Uss Truxtun, Ddg 103, Fpo, AE 09588-1309