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Individual

DR. DEREK M MATHESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11402 N 135TH EAST AVE, OWASSO, OK 74055-5701
(918) 331-1089
(918) 331-1823
Mailing address
11402 N 135TH EAST AVE, OWASSO, OK 74055-5701
(918) 212-7373
(918) 550-6689

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4359
OK

Other

Enumeration date
10/17/2006
Last updated
09/22/2025
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