Provider Demographics
NPI:1962907253
Name:BYRNE, MATTHEW MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:MICHAEL
Last Name:BYRNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:USA MEDDAC-AK, ATTN: MCUC-MMD-QM
Mailing Address - Street 2:1060 GAFFNEY RD. #7440
Mailing Address - City:FT. WAINWRIGHT
Mailing Address - State:AK
Mailing Address - Zip Code:99703-7440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BASSETT ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:4076 NEELY ROAD BLDG 4076, ROOM 3C-401
Practice Address - City:FT WAINWRIGHT
Practice Address - State:AK
Practice Address - Zip Code:99703-7440
Practice Address - Country:US
Practice Address - Phone:907-361-5615
Practice Address - Fax:907-361-4835
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2022-10-04
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Provider Licenses
StateLicense IDTaxonomies
NE33000207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine