MATTHEW SANDRIDGE

HOLLOMAN AFB, NM
NPI1215361449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: VA  0102203890)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-08-23
Last Update Date2022-08-02
Business Address
MATTHEW SANDRIDGE DO
280 1ST ST
HOLLOMAN AFB, NM 88330-8273
Phone number: 575-572-2778
Mailing Address
MATTHEW SANDRIDGE DO
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2724