Individual
MATTHEW S BERTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4050 W MEMORIAL RD, THIRD FLOOR, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3838
Mailing address
PO BOX 268919, OKLAHOMA CITY, OK 73126-8919
(405) 608-3800
(405) 608-3838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
861
OK
363AM0700X
Medical Physician Assistant
861
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011900A
—
OK
Enumeration date
11/04/2005
Last updated
09/09/2025
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