Thomas Oliver Matella JR. CRNA

NPI 1265856389 - Registered Nurse - 163W00000X

NPI Details
NPI 1265856389
Gender Male
Enumeration Date 02/10/2014
Last Updated 02/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
34800 BOB WILSON DR
ANESTHESIA DEPT.
SAN DIEGO CA, 92134-1098, US
Phone (619) 822-4922
Fax
Business Location
34800 BOB WILSON DR
ANESTHESIA DEPT.
SAN DIEGO CA, 92134-1098, US
Phone (619) 822-4922
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 813161
Remove 1265856389 NPI Number
 

According to our database, Mr. Thomas Oliver Matella JR. CRNA NPI is 1265856389, taxonomy code is 163W00000X and license number is 813161, license state is located at California. Thomas Oliver Matella JR. CRNA physically located at 34800 Bob Wilson Dr, San Diego CA, 92134-1098. NPI Number Thomas Oliver Matella JR. CRNA has the Individual type.

Sponsored links

1265856389 NPI number is provided on an as is basis without warranty of any kind. 1265856389 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Oliver Matella JR. CRNA are for informational purposes only.