Individual
DR. MATTHEW WADE EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVY MEDICINE OPERATIONAL TRAINING COMMAND (NMOTC), 220 HOVEY RD. BLDG 664, PENSACOLA, FL 32508
(850) 452-9484
(850) 452-3842
Mailing address
NMOTC, 220 HOVEY RD., PENSACOLA, FL 32508
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD0000
—
CA
Enumeration date
01/04/2010
Last updated
09/29/2024
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