Individual
MATTHIAS COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135
(918) 579-2368
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2368
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32205
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
07/06/2018
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