Individual
DR. SAMUEL GENE MARTIN
Active
Individual
DR. SAMUEL GENE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
25859
OK
2084P0800X
Psychiatry Physician
Primary
25859
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200203640A
—
OK
01
—
440062YM2Y
MEDICARE
OK
Enumeration date
06/28/2007
Last updated
02/20/2025
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