Individual
MATTHEW WAYNE MILBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2647 E 20TH ST, TULSA, OK 74104-5811
(901) 647-0609
Mailing address
2647 E 20TH ST, TULSA, OK 74104-5811
(901) 647-0609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114281
OK
Other
Enumeration date
08/14/2014
Last updated
10/27/2014
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