Provider Demographics
NPI:1528156387
Name:ROBINSON, MATTHEW DEAN (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DEAN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 S MINGO RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6438
Mailing Address - Country:US
Mailing Address - Phone:918-627-0400
Mailing Address - Fax:866-486-6215
Practice Address - Street 1:5515 S MINGO RD
Practice Address - Street 2:SUITE K
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-6438
Practice Address - Country:US
Practice Address - Phone:918-627-0400
Practice Address - Fax:866-486-6215
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor