Individual
MR. DAVID MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 438-3834
Mailing address
629 BRANCH LINE RD, YUKON, OK 73099-3540
(405) 887-3650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
82808
OK
363LF0000X
Family Nurse Practitioner
82808
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
82808
OK
Other
Enumeration date
02/25/2020
Last updated
08/27/2024
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