Individual provider · Type 1 NPI

Mackinely Goldthwaite, IDC

Military Health Care Provider · Fpo, AE

NPI number 1023849304 Active

Practice location

Psc 836 Box 2670
Fpo, AE 09636-9998

Call (603) 731-9392 Map

Mailing address

5543 Adobe Falls Rd Unit 6
San Diego, CA 92120-4458

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1023849304

Mackinely Goldthwaite, IDC's National Provider Identifier is 1023849304, issued on Aug 9, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fpo, AE. The record was last updated on Aug 1, 2025.