Individual
MR. DARRELL ANTHONY MATHIEU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
5955 ZEAMER AVE, 3 AMDS, ELMENDORF, AK 99506
(907) 551-4006
Mailing address
5955 ZEAMER AVE, ELMENDORF, AK 99506
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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