Individual
MS. CLAIRE LUKEMAN MATTOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2000 S WHEELING AVE, SUITE 300, TULSA, OK 74104-5649
(918) 906-9414
(918) 747-3952
Mailing address
2000 S WHEELING AVE, SUITE 300, TULSA, OK 74104-5649
(918) 906-9414
(918) 747-3952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200477960A
—
OK
Enumeration date
05/07/2011
Last updated
07/09/2014
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