Search › Oklahoma › 183700000X
Matthew Corgill
NPI 1821427428 · on the registry since 2013
Practice
- Address
- 4112 S Peoria Ave
Tulsa, OK 74105 - Phone
- (918) 743-4491
- Fax
- (918) 743-5432
- Organisation at this address
- Providentia Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma