Individual
DR. MATTHEW R WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10501 E 91ST ST, EMERGENCY DEPT, TULSA, OK 74133-5790
(918) 307-6920
(918) 307-6951
Mailing address
PO BOX 25277, OVERLAND PARK, KS 66225-5277
(918) 307-6920
(918) 307-6951
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2228
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112470A
—
OK
01
—
930064920
MEDICARE RAILROAD
OK
Enumeration date
01/17/2006
Last updated
06/20/2018
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