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Individual

MATTHEW S DOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1575 N SANTA FE AVE, EDMOND, OK 73003-3638
(405) 285-0660
(405) 285-0659
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 252-3162
(405) 936-5211

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3567
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100255510B
OK
Enumeration date
07/11/2006
Last updated
04/28/2014
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