Matthew Philip Scully, IDMT

NPI #1013256536 in Wright Patterson Afb, Ohio

Provider Information

NPI Number: 1013256536
Entity Type: Individual
Name: Matthew Philip Scully, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Feb 4, 2013
Last Updated: Feb 4, 2013

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wright Patterson Afb
State: Ohio
ZIP Code: 45433-5529
Phone: (616) 717-0169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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