Individual
MR. THOMAS ELIOT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, ACNP
Contact information
Practice address
122 N BAILEY ST, PRYOR, OK 74361-4202
(918) 825-0216
(918) 825-0216
Mailing address
122 N BAILEY ST, PRYOR, OK 74361-4202
(918) 825-0216
(918) 825-0216
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN71531
OK
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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