Provider Demographics
NPI:1043084601
Name:ALLEN-MORGAN, MATTHEW COLE
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:COLE
Last Name:ALLEN-MORGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N WALKER AVE STE 190
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1896
Mailing Address - Country:US
Mailing Address - Phone:572-213-7608
Mailing Address - Fax:
Practice Address - Street 1:1724 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-2609
Practice Address - Country:US
Practice Address - Phone:572-213-7608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist