Individual
MIGY K MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 NE 13TH ST, VA MEDICAL CENTER-111-AC, OKLAHOMA CITY, OK 73104-5007
(405) 271-3050
Mailing address
921NE 13 ST., VA MEDICAL CENTER-111 AC, OKLAHOMA CITY, OK 73104
(405) 456-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21183
OK
207QG0300X
Geriatric Medicine (Family Medicine) Physician
21183
OK
Other
Enumeration date
03/07/2006
Last updated
03/06/2009
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