Individual
MOLLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1261 E TULSA AVE, KANSAS, OK 74347-7026
(918) 868-2175
Mailing address
1261 E TULSA AVE, KANSAS, OK 74347-7026
(918) 868-2175
(479) 373-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38340
OK
Other
Enumeration date
05/22/2020
Last updated
08/22/2024
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