Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 27883 | OK |
N | 111NI0900X | Internist | 27883 | OK |
Y | 207RR0500X | Rheumatology | 27883 | OK |
NPI | 1033439146 |
---|---|
Provider Name | Matlock Jeffries |
First Address | Oklahoma City, OK 73104-5033 |
Second Address | Oklahoma City, OK 73104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2010 |
Last Update Date | 22/06/2018 |