Steven Randolph Matlock, DPH

NPI #1821101627 in Midwest City, Oklahoma

Provider Information

NPI Number: 1821101627
Entity Type: Individual
Name: Steven Randolph Matlock, DPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7128 EAST RENO AVENUE
Address 2: SUITE A
City: Midwest City
State: Oklahoma
ZIP Code: 73110
Phone: (405) 737-3464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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