Michael C Mattingly M.D.

NPI 1659549681 - Pediatrics - 208000000X

NPI Details
NPI 1659549681
Gender Male
Enumeration Date 02/12/2008
Last Updated 05/26/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
620 JOHN PAUL JONES CIR
SUITE 2L
PORTSMOUTH VA, 23708-2197, US
Phone (757) 953-4077
Fax
Business Location
620 JOHN PAUL JONES CIR
SUITE 2L
PORTSMOUTH VA, 23708-2111, US
Phone (910) 451-6348
Fax
Toxanomy
Taxonomy Code 208000000X
License State Indiana
License Number 01064218A
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According to our database, Michael C Mattingly M.D. NPI is 1659549681, taxonomy code is 208000000X and license number is 01064218A, license state is located at Indiana. Michael C Mattingly M.D. physically located at 620 John Paul Jones Cir, Portsmouth VA, 23708-2197. NPI Number Michael C Mattingly M.D. has the Individual type.

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1659549681 NPI number is provided on an as is basis without warranty of any kind. 1659549681 is maintained by the National Plan & Provider Enumeration System. The contents of Michael C Mattingly M.D. are for informational purposes only.