Individual
MONTE J MATLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 402-2261
Mailing address
PO BOX 6112, ENID, OK 73702-6112
(580) 402-2261
(405) 758-5582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19029
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100825620A
—
OK
Enumeration date
03/09/2006
Last updated
07/28/2025
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