Individual
MATTHEW BRETT DOHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
APA1311
OK
363AM0700X
Medical Physician Assistant
Primary
1311
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200161290A
—
OK
Enumeration date
07/07/2006
Last updated
08/19/2016
Update your record
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