NPI 1215928627 · live from the CMS NPI Registry
Matthew Todd Warren, DO
Radiology, Diagnostic Radiology in Bethel, AK. National Provider Identifier 1215928627, active.
NPI record
| NPI | 1215928627 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 |
| Practice phone | 907-543-6238 |
| Enumerated | November 3, 2005 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 7349 (AK) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 34.007544 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.