person
Matthew Paul Hartwell, SURFACEIDC
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1336867951

Matthew Paul Hartwell is a Student in an Organized Health Care Education/Training Program based in Imperial Beach, CA. Matthew Paul Hartwell practices in San Diego, CA and has the professional credentials of SURFACEIDC. The NPI Number for Matthew Paul Hartwell is 1336867951 and holds a License No. (California).

The current practice location address for Matthew Paul Hartwell is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-6400.

Location: 34800 Bob Wilson Dr, San Diego, CA, 91932-2621
person
Provider Profile Details
NPI Number
1336867951
Provider Name
Matthew Paul Hartwell
Credential
SURFACEIDC
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 91932-2621
Phone Number
619-532-6400
Fax Number
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1400969457 01 CA SURFACE WARFARE MEDICAL INSTITUTE STUDENT
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
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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