Individual
MATTHEW BLAKE WEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7362
(405) 636-7861
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 636-7362
(405) 636-7861
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29866
OK
Other
Enumeration date
05/18/2012
Last updated
04/11/2025
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