Individual
MATTHEW LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 CHILDRENS AVE STE 12300, OKLAHOMA CITY, OK 73104-4637
(405) 245-7066
Mailing address
1200 CHILDRENS AVE STE 12300, OKLAHOMA CITY, OK 73104-4637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34406
OK
208000000X
Pediatrics Physician
35.132874
OH
Other
Enumeration date
04/10/2015
Last updated
05/20/2019
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