IndividualActive
Matthew Scully, IDMT
NPI 1013256536 · Independent Duty Medical Technicians · Wright Patterson Afb, OH
Provider details
- NPI number
- 1013256536
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Practice location
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone: (616) 717-0169
Mailing address
4061 Cloud Park Dr
Huber Heights, OH 45424-8084
Registry dates
- Enumerated
- 2013-02-04
- Last updated
- 2013-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.