Randall J Matos Dpm Pc | |
1103 Dewey Avenue, Poteau, OK 74953-4411 | |
(918) 649-3777 | |
(918) 649-3891 |
Full Name | Randall J Matos Dpm Pc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1103 Dewey Avenue, Poteau, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407876246 | NPI | - | NPPES |
DN2101 | Other | OK | RAILROAD MEDICARE |
200199110A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 193 (Oklahoma) | Primary |
Provider Name | Randall J Matos |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1780632273 PECOS PAC ID: 1355432295 Enrollment ID: I20100907000862 |
Mailing Address | Practice Location Address |
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Randall J Matos Dpm Pc Po Box 400, Poteau, OK 74953-0400 Ph: (918) 649-3777 | Randall J Matos Dpm Pc 1103 Dewey Avenue, Poteau, OK 74953-4411 Ph: (918) 649-3777 |
Pro Care Family Health Of Leflore County Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1103 Dewey Ave, Poteau, OK 74953 Phone: 918-647-0670 Fax: 918-647-0460 | |
Randall Joseph Matos, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1103 Dewey Ave, Poteau, OK 74953 Phone: 918-649-3777 Fax: 918-649-3891 |