Individual
MATTHEW R ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103
(575) 904-3917
Mailing address
224 W.D.L INGRAM AVENUE, BLDG 1408, CANNON AFB, NM 88103
(575) 904-3917
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
07/24/2025
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