Doctor Name: | MATTHEW HANSEN LINDSEY |
NPI Number: | 1922441567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 49708 |
Business Practice Address: | 7219 N Litchfield Rd Luke Afb, AZ - 853091529 |
Business Phone Number: | 6238567527 |
Business Fax Number: | |
Mailing Address: | 7219 N Litchfield Rd, LUKE AFB |
State: | AZ |
Postal Code: | 853091529 |
Phone Number: | 6238567527 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2013 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 49708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |