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Individual

MATTHEW ADCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MICROPIGMENTOLOGIST

Contact information

Practice address
7035 S MEMORIAL DR, TULSA, OK 74133-3000
(918) 340-8718
Mailing address
2415 E 22ND ST, TULSA, OK 74114-3118
(918) 844-4401

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210707
OK
246ZA2600X
Medical Art Specialist/Technologist
1781
OK

Other

Enumeration date
10/29/2020
Last updated
07/08/2025
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