Individual
MR. MATTHEW L. BRESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
7791 MERCURY RD, FAIRECONRON FOUR, OKLAHOMA CITY, OK 73145-8712
(405) 582-6615
Mailing address
7791 MERCURY RD, FAIRECONRON FOUR, OKLAHOMA CITY, OK 73145-8712
(405) 734-2914
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/29/2013
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