Randall J Matos Dpm PC

NPI #1407876246 in Poteau, Oklahoma

Provider Information

NPI Number: 1407876246
Entity Type: Organization
Organization Name: Randall J Matos Dpm PC
Primary Specialty: Podiatrist
Enumeration Date: Jul 21, 2006
Last Updated: Mar 4, 2011

Practice Location

Address: 1103 DEWEY AVENUE
City: Poteau
State: Oklahoma
ZIP Code: 74953-4411
Phone: (918) 649-3777

Authorized Official

Name: RANDALL JOSEPH MATOS, DPM
Title: OWNER
Phone: (918) 649-3777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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