Individual
MATTHEW JACOB ITTOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 3216, OKLAHOMA CITY, OK 73104-5036
(405) 271-5121
Mailing address
920 STANTON L YOUNG BLVD STE 3216, OKLAHOMA CITY, OK 73104-5036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0603R
OK
Other
Enumeration date
04/24/2023
Last updated
07/27/2023
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