Individual
MR. MATTHEW LYNN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-3879
Mailing address
2540 E SHARON ST, FAYETTEVILLE, AR 72703-6599
(479) 251-1905
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA02983
TX
363AM0700X
Medical Physician Assistant
Primary
PA1384
OK
363AM0700X
Medical Physician Assistant
PA216
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601384
—
OK
Enumeration date
10/05/2005
Last updated
01/11/2011
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