Individual
DR. MATTHEW HAROLD ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
310 2ND AVE SW, STE 102, MIAMI, OK 74354-6708
(918) 540-7655
(918) 540-7668
Mailing address
PO BOX 1323, MIAMI, OK 74355-1323
(918) 540-7655
(918) 540-7668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
223
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780830A
—
OK
Enumeration date
06/01/2005
Last updated
02/16/2012
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