Individual
DR. THOMAS MINA MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4502 E 41ST ST, SUITE 2H27, TULSA, OK 74135-2536
(916) 660-3022
(916) 660-3009
Mailing address
4502 E 41ST ST, SUITE 2H27, TULSA, OK 74135-2536
(916) 660-3022
(916) 660-3009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21565
IA
Other
Enumeration date
09/23/2011
Last updated
07/10/2012
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