Individual
MATHEW J IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2004 N HIGHWAY 81, DUNCAN, OK 73533-1460
(580) 255-0500
(580) 252-1684
Mailing address
2004 N HIGHWAY 81, DUNCAN, OK 73533-1460
(580) 255-0500
(580) 252-1684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20243
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500522018
—
OK
Enumeration date
06/23/2006
Last updated
04/11/2012
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