Individual
DUSTIN SCOTT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4301 MOWAY RD, REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: RUBY PRESCOTT), FORT SILL, OK 73503-6300
(580) 458-2134
(580) 458-2314
Mailing address
515 LN LAUMAN, FORT SILL, OK 73503-5000
(580) 250-1740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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