Individual
GEORGE M MATOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
215 N MIDWEST BLVD, MIDWEST CITY, OK 73110-4320
(405) 737-3491
(405) 737-5956
Mailing address
215 N MIDWEST BLVD, MIDWEST CITY, OK 73110-4320
(405) 737-3491
(405) 737-5956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18887
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707240A
—
OK
01
—
101565200
DEPT OF LABOR
OK
01
—
200024773
RAILROAD MEDICARE
OK
01
—
5007198
AETNA
OK
Enumeration date
06/17/2006
Last updated
08/25/2020
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