Organization
DENNIS L. MARTIN M.D., PC
Active
Other names
Martin Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS L MARTIN M.D. (OWNER)
(918) 696-7278
Entity
Organization
Contact information
Practice address
912 W CEDAR ST, STILWELL, OK 74960-3406
(918) 696-7278
(918) 696-7280
Mailing address
912 W CEDAR ST, STILWELL, OK 74960-3406
(918) 696-7278
(918) 696-7280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11948
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093670A
—
OK
Enumeration date
04/10/2008
Last updated
09/15/2008
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