Individual provider · Type 1 NPI

Derek William Matthies

Student in an Organized Health Care Education/Training Program · Apo, AP

NPI number 1194268458 Active

Practice location

2200 Bergquist Drive, Suite 1 Attn: Credentials (sghc), Jbsa-Lackland
Apo, AP 78236-9908

Mailing address

11622 Hunter Ivy
San Antonio, TX 78253-5866

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194268458

Derek William Matthies's National Provider Identifier is 1194268458, issued on Nov 18, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Apo, AP. The record was last updated on Jan 26, 2022.