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Individual

DR. WILLIAM BURT-LEWIS MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
109 KERR AVE, POTEAU, OK 74953-5270
(918) 649-1136
(918) 649-1102
Mailing address
109 KERR AVE, POTEAU, OK 74953-5270
(918) 649-1136
(918) 649-1102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15023
OK

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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