Individual
MATT KENNETH FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1400 LERA, WEATHERFORD, OK 73096-2629
(580) 772-3200
(580) 772-1061
Mailing address
1400 LERA DRIVE, WEATHERFORD, OK 73096
(580) 772-3200
(580) 772-1061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2025
OK
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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