Organization
DEAN E. MARTIN, M.D., PC
Active
Other names
Dean E. Martin, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN ERWIN MARTIN M.D. (PRESIDENT)
(918) 749-2463
Entity
Organization
Contact information
Practice address
2121 S COLUMBIA AVE, SUITE 301, TULSA, OK 74114-3505
(918) 749-2463
(918) 749-2838
Mailing address
2121 S. COLUMBIA AVE., SUITE 301, TULSA, OK 74114-3517
(918) 749-2463
(918) 749-2838
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
13789
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446545683-003
BCBS
OK
Enumeration date
09/05/2006
Last updated
08/22/2020
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