Individual
DR. NATALIE LYNN RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
271 FT RICHARDSON AVE, GOODFELLOW AFB, TX 76908
(325) 654-3634
Mailing address
271 FT RICHARDSON AVE, GOODFELLOW AFB, TX 76908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-07-9742-R
OH
2083A0100X
Aerospace Medicine Physician
Primary
35.079742
OH
2083P0901X
Public Health & General Preventive Medicine Physician
35.079742
OH
Other
Enumeration date
08/31/2005
Last updated
01/14/2022
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