Individual
MATTHEW EVAN MARBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP MSN
Contact information
Practice address
2408 E 81ST ST, TULSA, OK 74137-4200
(918) 477-5000
Mailing address
PO BOX 14156, TULSA, OK 74159-1156
(918) 978-1079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100289
OK
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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