Search › Virginia › 1710I1002X
Matthew Defries, L02A
NPI 1710512009 · on the registry since 2020
Practice
- Address
- 472 Polaris St Bldg 586
Virginia Beach, VA 23461 - Phone
- (219) 869-1039
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia