Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL OTHELLO MATHIS JR., SURFACE FORCE IDC
Active Sole ProprietorMICHAEL OTHELLO MATHIS JR., SURFACE FORCE IDC is a 2865X1600X healthcare provider located in FPO, APO/FPO Europe, Middle East & Africa. NPI 1659612927 is currently active in the NPPES registry. Verify at CMS.
2865X1600X · FPO, AE
Registration Details
- NPI Number
- 1659612927
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2013 (13.420362100099 yrs)
- Last Updated
- Mar 11, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
USS TRUXTUNDDG 103FPO, AE, 095881309Browse AE providers · Browse ZIP 09588
- Phone
- 7574456164
- Primary Specialty
-
2865X1600X
2865X1600X
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.