Individual
MATTHEW RAYMOND THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 E 41ST ST, 1C54, TULSA, OK 74135-2536
(918) 660-3505
Mailing address
4502 E 41ST ST, 1C54, TULSA, OK 74135-2536
(918) 660-3505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29193
OK
Other
Enumeration date
04/11/2012
Last updated
12/06/2017
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