Individual
MR. LARRY MARTIMUS FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 N AIR DEPOT BLVD APT 3103, MIDWEST CITY, OK 73110-3777
(405) 537-5563
Mailing address
777 N AIR DEPOT BLVD APT 3103, MIDWEST CITY, OK 73110-3777
(405) 537-5563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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