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Sara Jean Mathews, MD
Military Health Care Provider in Cannon Afb, New Mexico
NPI 1669833018

Sara Jean Mathews is a Military Health Care Provider based in Cannon Afb, NM. Sara Jean Mathews practices in Cannon Afb, NM and has the professional credentials of MD. The NPI Number for Sara Jean Mathews is 1669833018 and holds a License No. (New Mexico).

The current practice location address for Sara Jean Mathews is 208 D L Ingram Ave W, Cannon Afb, NM and can be reached out via phone at 575-265-2411 and via fax at 575-784-6329.

Location: 208 D L Ingram Ave W, Cannon Afb, NM, 88103-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669833018
Provider Name
Sara Jean Mathews
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
208 D L Ingram Ave W, Cannon Afb, NM, 88103-5103
Phone Number
575-265-2411
Fax Number
575-784-6329
Provider Enumeration Date
03/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
208 D L Ingram Ave W
City
Cannon Afb
State
New Mexico
Zip
88103-5103
Phone Number
575-265-2411
Fax Number
575-784-6329
person
Provider Business Mailing Address Details
Address
208 D L Ingram Ave W
City
Cannon Afb
State
New Mexico
Zip
88103-5103
Phone Number
575-265-2411
Fax Number
575-784-6329
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
30237 (Nebraska)
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
390200000X
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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