Individual
MARCIA KAY MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 B ST SW, MIAMI, OK 74354-6808
(918) 542-5551
(918) 542-1555
Mailing address
30 B ST SW, MIAMI, OK 74354-6808
(918) 542-5551
(918) 542-1555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19451
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124760A
—
OK
Enumeration date
12/29/2005
Last updated
08/09/2012
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