Individual
DR. STEPHEN KOHLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 273-9911
(918) 273-9946
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 273-9911
(918) 273-9946
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1949
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134410A
—
OK
05
—
100768880I
—
OK
05
—
100768880J
—
OK
01
—
37-1832
MEDICARE
OK
Enumeration date
05/09/2006
Last updated
02/19/2013
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