Individual
MATTHEW THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(800) 722-3611
Mailing address
502 W 26TH ST, SAND SPRINGS, OK 74063-5001
(918) 409-7257
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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