Individual provider · Type 1 NPI

Amanda R. Self, MD

General Practice Physician · Fpo, AP

NPI number 1669548673 Active

Practice location

7th Comm Bn Hq Co Bas, Unit 35610
Fpo, AP 96606-5610

Call (318) 402-0604 Map

Mailing address

3944 Highway 175
Frierson, LA 71027-2159

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X01062935A (IN)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1669548673

Amanda R. Self, MD's National Provider Identifier is 1669548673, issued on Nov 28, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fpo, AP. The record was last updated on Apr 20, 2008.