Individual
MATTHEW JAMES WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10501 E 91ST ST, TULSA, OK 74133-5790
(918) 494-0612
(918) 481-5170
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
075833
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
85699
OK
Other
Enumeration date
09/27/2006
Last updated
08/07/2024
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