Individual
MR. MATTHEW ANDREW BUBNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, DPT
Contact information
Practice address
FC309 HM SMITH BLVD, CAMP LEJEUNE, NC 28547
(910) 451-5125
Mailing address
FC309 HM SMITH BLVD, CAMP LEJEUNE, NC 28547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116027999
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
0102204665
VA
Other
Enumeration date
01/25/2006
Last updated
12/11/2025
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