Individual
JANTZEN MATLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 421-8440
(918) 421-8750
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 499-4855
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6704
OK
207Q00000X
Family Medicine Physician
T1459
TX
Other
Enumeration date
02/24/2018
Last updated
08/12/2025
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