Organization
DAVID E MARTIN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EXLINE MARTIN M.D. (DOCTOR)
(580) 421-6470
Entity
Organization
Contact information
Practice address
520 N MONTE VISTA ST, SUITE B, ADA, OK 74820-4674
(580) 421-6470
(580) 421-6472
Mailing address
520 N MONTE VISTA ST, SUITE B, ADA, OK 74820-4674
(580) 421-6470
(580) 421-6472
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165920B
—
OK
Enumeration date
02/13/2008
Last updated
10/08/2010
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