# MATTHEW T DRAELOS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821267717
- **Authorized official:** MATTHEW THEODORE DRAELOS MD (OWNER/OPERATOR)
- **Authorized official phone:** (405) 330-2362

## Contact information

- **Practice address:** 200 N BRYANT AVE, SUITE 100, EDMOND, OK 73034-6273
- **Practice address phone:** (405) 330-2362
- **Practice address fax:** (405) 330-2363
- **Mailing address:** 200 N BRYANT AVE, SUITE 100, EDMOND, OK 73034-6273
- **Mailing address phone:** (405) 330-2362
- **Mailing address fax:** (405) 330-2363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 15748 | OK | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 10/22/2008