Individual
MATTHEW HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14025 N EASTERN AVE APT 2912, EDMOND, OK 73013-3520
(405) 881-6737
Mailing address
940 STANTON L YOUNG BLVD # 357, OKLAHOMA CITY, OK 73104-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39542
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
04/07/2026
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