Provider Demographics
NPI:1588841845
Name:STRICKLAND, MATHEW (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:SANTO DOMINGO PUEBLO
Mailing Address - State:NM
Mailing Address - Zip Code:87052-0340
Mailing Address - Country:US
Mailing Address - Phone:505-465-3060
Mailing Address - Fax:505-591-0304
Practice Address - Street 1:PO BOX 340
Practice Address - Street 2:
Practice Address - City:SANTO DOMINGO PUEBLO
Practice Address - State:NM
Practice Address - Zip Code:87052-0340
Practice Address - Country:US
Practice Address - Phone:505-465-3060
Practice Address - Fax:505-591-0304
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002119208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics