Individual provider · Type 1 NPI

Jantzen Matli, DO

Family Medicine Physician · Mcalester, OK

NPI number 1205337201 Active

Practice location

1401 E Van Buren Ave
Mcalester, OK 74501-4245

Fax (918) 421-8750

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XT1459 (TX)
Family Medicine Physician Primary 207Q00000X6704 (OK)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1205337201

Jantzen Matli, DO's National Provider Identifier is 1205337201, issued on Feb 24, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mcalester, OK. The record was last updated on Aug 12, 2025.