Individual
MATTHEW BRYAN ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 406-3420
Mailing address
10702 N 147TH EAST AVE, OWASSO, OK 74055-5994
(918) 971-8588
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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