Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARRELL ANTHONY MATHIEU JR., IDMT
ActiveMR. DARRELL ANTHONY MATHIEU JR., IDMT is a Independent Duty Medical Technician healthcare provider located in ELMENDORF, Alaska. NPI 1205063799 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · ELMENDORF, AK
Registration Details
- NPI Number
- 1205063799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2009 (17.136801180368 yrs)
- Last Updated
- Jun 11, 2009
Practice Information
- Address
-
5955 ZEAMER AVE3 AMDSELMENDORF, AK, 99506Browse AK providers · Browse ZIP 99506
- Phone
- 9075514006
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.