# DENNIS L. MARTIN M.D., PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Martin Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487827333
- **Authorized official:** DR. DENNIS L MARTIN M.D. (OWNER)
- **Authorized official phone:** (918) 696-7278

## Contact information

- **Practice address:** 912 W CEDAR ST, STILWELL, OK 74960-3406
- **Practice address phone:** (918) 696-7278
- **Practice address fax:** (918) 696-7280
- **Mailing address:** 912 W CEDAR ST, STILWELL, OK 74960-3406
- **Mailing address phone:** (918) 696-7278
- **Mailing address fax:** (918) 696-7280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11948 | OK | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 09/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100093670A | — | OK |