Individual
DR. BLAKE ALAN MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8901 S SANTA FE AVE STE A, OKLAHOMA CITY, OK 73139-8413
(405) 634-0042
Mailing address
8901 S SANTA FE AVE STE A, OKLAHOMA CITY, OK 73139-8413
(405) 634-0042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4274
OK
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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