MEDICARE: DR. DAMON MATTHEW ARMSTRONG DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	10402	CA
2	208600000X	Surgery Physician	5058	OK

General Provider Information

NPI Number	:	1548400500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAMON MATTHEW ARMSTRONG DO

Provider Business Mailing Address
First Line	:	6600 S YALE AVE STE 1400
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 ROCKEFELLER DR STE 201
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-5050
Country	:	US
Telephone Number	:	918-682-4580
Fax Number	:	918-686-8519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2009
Last Update Date	:	09/19/2023

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