Individual
MR. JOHN RUSSELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
HWYS JCT 270 & 56, WEWOKA INDIAN HEALTH CENTER, WEWOKA, OK 74884-1475
(405) 257-7345
(405) 257-3344
Mailing address
HWYS JCT 270 & 56, WEWOKA INDIAN HEALTH CENTER, WEWOKA, OK 74884-1475
(405) 257-7345
(405) 257-3344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10991
OK
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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