Individual
RANDALL JOSEPH MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1103 DEWEY AVE, POTEAU, OK 74953-4411
(918) 649-3777
(918) 649-3891
Mailing address
PO BOX 400, POTEAU, OK 74953-0400
(918) 649-3777
(918) 649-3891
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
193
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100779740A
—
OK
Enumeration date
05/05/2006
Last updated
03/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us