Basic Information
Provider Information
NPI: 1093026635
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OKLAND
FirstName: MATTHEW
MiddleName: RYAN
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3014
Address2: 1215 DUFF AVENUE MCFARLAND CLINIC PC
City: AMES
State: IA
PostalCode: 500103014
CountryCode: US
TelephoneNumber: 5152392182
FaxNumber: 5152393665
Practice Location
Address1: 1111 DUFF AVENUE
Address2: MCFARLAND CLINIC PC
City: AMES
State: IA
PostalCode: 500103014
CountryCode: US
TelephoneNumber: 5152392182
FaxNumber: 5152393665
Other Information
ProviderEnumerationDate: 06/29/2010
LastUpdateDate: 06/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X4938OKY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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