IndividualActive
Matthew Breske, SFIDC
NPI 1982848040 · Independent Duty Corpsman · Oklahoma City, OK
Provider details
- NPI number
- 1982848040
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SFIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
7791 Mercury Rd
Faireconron Four
Oklahoma City, OK 73145-8712
Phone: (405) 582-6615
Approximate (ZIP-level) locationGet directions
Mailing address
7791 Mercury Rd
Oklahoma City, OK 73145-8712
Registry dates
- Enumerated
- 2009-04-20
- Last updated
- 2013-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.