person
Dr. Matthew A Taira, MD
Student in an Organized Health Care Education/Training Program in Apo, N/A
NPI 1396486742

Matthew A Taira is a Student in an Organized Health Care Education/Training Program based in Apo, . Matthew A Taira practices in Apo, and has the professional credentials of MD. The NPI Number for Matthew A Taira is 1396486742 and holds a License No. (N/A).

The current practice location address for Matthew A Taira is 18Th Medical Group, Apo, and can be reached out via phone at 315-630-4780.

Location: 18Th Medical Group, Apo, , 96368-5142
person
Provider Profile Details
NPI Number
1396486742
Provider Name
Matthew A Taira
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18Th Medical Group, Apo, , 96368-5142
Phone Number
315-630-4780
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18Th Medical Group
City
Apo
State
Zip
96368-5142
Phone Number
315-630-4780
Fax Number
person
Provider Business Mailing Address Details
Address
18Th Medical Group
City
Apo
State
Zip
96368-5142
Phone Number
315-630-4780
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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