Individual
MATTHEW TRENT SOLDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 485-0242
Mailing address
779 E 508, SALINA, OK 74365-3068
(918) 803-2166
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
01/04/2023
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