Individual
DR. MATTHEW BLAKE LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E-9626
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072991
—
AR
05
—
200830090A
—
OK
05
—
234603001
—
AR
Enumeration date
04/08/2013
Last updated
01/31/2024
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