Individual
CHRISTOPHER SCOTT MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
BLDG 4101 STUART MESA ROAD, CAMP PENDLETON, CA 92055
(760) 725-8912
Mailing address
5154 WHITMAN WAY APT 205, CARLSBAD, CA 92008-4643
(848) 448-1037
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
03161523CM
NC
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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