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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAVEN MATTINGLY

Active

RAVEN MATTINGLY is a Foot & Ankle Surgery healthcare provider located in GANS, Oklahoma. NPI 1285097527 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · GANS, OK

Registration Details

NPI Number
1285097527
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2016 (10.387268784905 yrs)
Last Updated
Apr 4, 2016

Practice Information

Address
204 N STACEY AVE
GANS, OK, 74936
Browse OK providers · Browse ZIP 74936
Phone
9187752236
Primary Specialty
Foot & Ankle Surgery
3747P1801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.